UNIT 1: Building a Foundation 1. Origins of Health Insurance 2. Tools of the Trade: A Career as a Health Insurance Professional 3. The Legal and Ethical Side of Health Insurance 4. Healthcare Reform: Coverage Types and Sources 5. The Patient and the Billing Process UNIT 2: Health Insurance Basics 6. Reimbursement Models 7. Understanding Managed Care 8. Understanding Medicare 9. Understanding Medicaid 10. Understanding Military Carriers 11. Understanding Miscellaneous Carriers: Workers' Compensation and Disability Insurance UNIT 3: Claims Submission 12. Claim Submission Methods 13. Diagnostic Coding 14. Procedural, Evaluation and Management, and HCPCS Coding 15. Claims Management UNIT 4: Advanced Application 16. The Roles of Computers in Health Insurance 17. Reimbursement Procedures: Getting Paid 18. Hospital Billing and the UB-04