Title |
MII Technical Course in Health and Medical Claims |
Date |
22 – 23 October, 2012 |
Duration |
2 Days |
Level |
Intermediate |
Time |
9.00 am to 5.00 pm |
Venue |
The Malaysian Insurance Institute
MII City Centre
S17-S28, 2nd Floor,
Maju Junction Mall
1001 Jalan Sultan Ismail
50250 Kuala Lumpur |
Trainer |
TBA |
Who Should Attend |
- Insurance Industry Personnel who have basic knowledge in Insurance or basic knowledge in Health and Medical Insurance
- Non– insurance personnel whose work require an understanding or practical knowledge of the subject
- Anyone who require knowledge on insurance
|
Key Learning Outcomes |
At the end of the course, participants will be able to :
- understand and interpret medical terminologies commonly found under the policy
- identify the “Signs of Concern” in medical atmosphere and relate them to policy terms and conditions
- identify those treatments which are of “Medically Necessary”
- appreciate the definition and application of “ Customary and Reasonable Charges”
- acquire the current knowledge and up-to-date practices in the local and global market
|
Course Content |
- Mastering “Medical Jargons and Abbreviations”
- 3 - Basic parts of medical terms - Root Word, Prefix and Suffix
- Common medical terms relating to the various organs, body system, tumours and pregnancy
- Commonly used Medical Abbreviations in medical reports
- Definition of Sickness and Injury
- What constitute sickness and injury
- Signs of Concern in Medical Information including indicators of long standing medical conditions
- Definition of “acute” and “chronic” conditions
- Key words that may indicate chronic conditions
- Impact on Hospitalization and Surgical insurance policies
- Concept of Medically Necessary
- Basis and the application of the concept
- hospitalization
- length of stay
- speciality
- diagnostic tests, treatment and procedures
- Impact on Hospitalization and Surgical insurance claims
- Concept of Customary Reasonable Charges
- Current basis for Customary Reasonable Charges
- The challenges that surrounds this concept
- Observation on the implementation of Fee Schedule
- Impact on Hospitalization and Surgical insurance claims
- Case studies and group discussions
|
