Health Insurance & Reimbursement

Interactive Online Learning that Fits Your Schedule

At Washington Tech we understand that you have a busy schedule, and that you are looking for a school that will fit into your lifestyle.

We start new sessions every four weeks, and since there is no physical classroom to attend, you can do your coursework whenever and wherever you like, 24/7, via the Internet.

Program Starts

This program starts every day which means you do not have to wait to get started on your education! 

Technology Requirements

Students will need to have access to the internet as well as a computer that can work with the software used in this program. Using a Chromebook, tablet, or phone will not be possible for this program given the nature of the material. Most software used will be open-source, free downloads. However, students may need to purchase short-term subscriptions to software. The benefit of students purchasing this software themselves is that all the work they do will stay with them and they will have access to it after they complete their program with WTI. 

We, at Washington Online, understand that times can be tough financially so we offer all of our students the opportunity to utilize an interest free payment plan. To find out more information check out the tuition page.

Program Tuition includes:

• 24/7 access to Washington Tech’s Online Classroom
• All electronic resources/textbooks

Total Tuition: $699

Available Payment Options & Financing

Financial Aid is available for those who qualify

• Pay in full
• Interest-free installment plans
• Employer Reimbursement (check with your employer)
• Private loans & Scholarships

Click here to learn more about financing your certificate program with Climb.

You can see all your options by clicking here.

Understanding Health Insurance, 12th Edition, is the essential learning tool your students need when preparing for a career in medical insurance billing. This comprehensive and easy- to understand text is fully-updated with the latest code sets and guidelines, and covers important topics in the field like managed care, legal and regulatory issues, coding systems, reimbursement methods, medical necessity, and common health insurance plans. The twelfth edition has been updated to include new legislation that affects healthcare, ICD-10-CM coding, implementing the electronic health record, the Medical Integrity Program (MIP), medical review process, and more. The practice exercises in each chapter provide plenty of review, and the accompanying workbook provides even more application-based assignments and additional case studies for reinforcement

Course Objectives:

Throughout the course, you will meet the following goals:

• Understanding alerts such as the HIPAA Alerts, Coding Tips, ICD-10, and Managed Care Alerts draw attention to critical areas of content and provide experience-based recommendations.
• Notes appear throughout and clarify content, give references, provide background, or emphasize rule exceptions.
• Study Checklist at the end of each chapter directs students to other learning aidsto enhance understanding and build confidence.
• Practical Claim Handling: In addition to ongoing, in-text references to claim forms and related on-the-job issues, UNDERSTANDING HEALTH INSURANCE, 12th Edition gives readers practice completing actual CMS1500 claim forms by hand and online using easy-to-follow instructions.
• Contemporary Coding: Exhaustive CPT and ICD-10 coverage outpaces competing health insurance texts with the latest coding manual information, numerous examples and skill-building exercises, and detailed explanations that prepare students for upcoming changes while building confidence with new requirements.
• 59-day free trial of Encoder Pro.com—Expert™ from Optum lets students look up codes and descriptions quickly and with greater accuracy.Contents:

Contents:

1. 1.) Health Insurance Specialist Career
2. 2.) Introduction to Health Insurance
3. 3.) Managed Healthcare
4. 4.) Processing an Insurance Claim
5. 5.) Legal and Regulatory Issues
6. 6.) ICD-10-CM Coding
7. 7.) CPT Coding
8. 8.) HCPCS Level II Coding
9. 9.) CMS Reimbursement Methodologies
10. 10.) Coding for Medical Necessity
11. 11.) Essential CMS-1500 Claim Instructions
12. 12.) Commercial Insurance
13. 13.) Blue Cross Blue Shield
14. 14.) Medicare
15. 15.) Medicaid
16. 16.) TRICARE
17. 17.) Workers’ Compensation

Grading Scale

A = 95-100%
B = 88-94.9%
C = 80-87.9%
D = 70-79.9%
F = Below 70%

Grade Weighting

Chapter Quizzes.................70%
Final Exam..........................30%