Evaluation of Itemised Inpatient Billings Workshop
This one-day workshop is developed specially to train Medical and Health Claims Assessors to become proficient in assessing itemised medical billings. Participants will be adept in translating information from patient medical billing records to provide evidence of medical necessity. The workshop is a platform for participants to discuss and share experiences with regards to assessing medical billings. An experienced trainer with medical and TPA background will guide and advice participants in their daily work.
Key learning Outcomes
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At the end of the course, participants will be able to :
• match the correct procedures stated in the medical billings with the treatment of the diseases.
• classify itemised hospital billings based on diagnosis of diseases.
• demonstrate the understanding of the items in the billing against the coverage in the Hospital & Surgical policy.
• apply information in the billings with the treatment of the diseases.
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Key Course Contents
- Introduction – Policy coverage, medical procedure, diagnostic
examination and medications
- Case Study 1 – Identifying medical procedure/ exclusion
- Case Study 2 – Matching procedure with diseases
- Case Study 3 – Classifying medications
- Case Study 4/5/6 – Combination of all the issues
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Who Should Attend
• Those with 2-3 years experience in assessing medical and health insurance claims
• Senior medical claims assessors
• Those who have attended MII’s “Assessing Inpatient Billings – To Pay or Not to Pay” Programme
• Medical hospital and surgical underwriters
• Marketers of Employee Benefits Schemes |
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Fees
| Category |
Local Fee (RM) |
International Fee (USD) |
| Non-Member |
795 |
200 |
| Group (Non Member) |
752 |
180 |
| Group (Member) |
646 |
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| Member |
689 |
- |
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