AOT 114 - Medical Office Insurance

Class: 3 Credits: 3
This course emphasizes development of proficiency in articulating medial terminology and composing medical documents using software tools.

Prerequisite(s): Take AHS 102 and AOT 141 with a minimum grade of “C”.

Course Topics:

Health Insurance
Managed Care, Medicare, Medicaid, Blue Cross, Tricare
HCFA 1500 Form
Insurance processing terms
Insurance appeal letters
Processing insurance claims
Insurance claim denials
Reimbursement methodologies

Textbooks:
Textbook information can be found on the Book Inn Web site.

Required Materials:
Textbook, computer and OneDrive account

Grading System:
An overall grade of C or higher is required in this class to be applied toward any Administrative Office Technology degree or certificate.

A 90 - 100
B 80 - 89
C 70 - 79
D 60 - 69
F 0 - 59

Student Learning Outcomes:

Complete a HCFA 1500 Form.
Differentiate between Managed Care, Medicare, Medicaid, Blue Cross and Tricare.
Write an appeal letter to an insurance company.
Differentiate between the different reimbursement methodologies.

For SCC Online Courses:
If the course you are taking is online, please review the SCC Online Course Policies that include:

Identity Verification
Required materials for all online courses
Mandatory Attendance Requirement
Orientation and Support
Proctored Exams

Standard SCC Course Policies:
Please review the Standard Course Policies on the following topics:

Academic Integrity
Add/Drop period
Attendance
Classroom Conduct
Equal Access
IT Access
Online Behavior
Online Confidentiality
Services For Students with Disabilities
Student Concerns
Student Help Services
Withdrawals

Official Course Syllabus
2022-2023