The Health Insurance & Reimbursement course provides a focused, practical introduction to how healthcare services are billed, coded, and reimbursed in the U.S. healthcare system. Designed for students interested in medical billing, coding, or healthcare administration roles, this course builds a strong foundation in insurance processes, payer policies, and compliance requirements that directly impact revenue cycle operations.

Through real-world examples and applied exercises, students explore the structure and purpose of health insurance, including private, government, and managed care plans. The course emphasizes hands-on skill development, guiding students through the accurate completion of professional claim forms and the correct use of industry-standard coding systems. Regulatory topics such as HIPAA compliance, fraud prevention, and audit readiness are woven throughout the coursework to ensure students understand both technical accuracy and ethical responsibility.

In this course, students will learn how to:

• Explain the role of health insurance within the U.S. healthcare system
• Complete CMS-1500 and UB-04 claim forms accurately
• Apply ICD-10-CM, CPT, and HCPCS coding systems to support reimbursement
• Interpret payer policies for Medicare, Medicaid, TRICARE, workers’ compensation, and commercial insurers
• Follow HIPAA standards and compliance guidelines in billing and reimbursement processes
• Manage claims processing, follow-up, appeals, and reimbursement workflows

By the end of the course, students will have practical, job-relevant experience with the billing and reimbursement cycle and a clearer understanding of how healthcare organizations receive payment for services. This course works well as a standalone skills course or as part of a broader pathway into medical billing, health information management, or healthcare administration roles.