Insurance Specifics

This course offers an in-depth overview of major insurance carriers that impact medical billing and reimbursement, including Medicare, Medicaid, TRICARE, Blue Cross/Blue Shield, commercial plans, and workers’ compensation. Students will explore the unique coverage policies, billing guidelines, and reimbursement methods associated with each payer type. The course also covers best practices for claim submission, prior authorization, and compliance with payer-specific requirements. By the end, students will understand how to reduce denials and support accurate, timely reimbursement across various insurance programs.