| Public Health | Department | Health Sciences | College | ||||||||||||||||||||||||||
| HCM563 | Course Code: | Healthcare Insurance | Course Name | ||||||||||||||||||||||||||
| 3 hours | Contact Hours | 3 credit Hours | Credit Hours | ||||||||||||||||||||||||||
| English | Arabic | Teaching Language | |||||||||||||||||||||||||||
| None | Prerequisite | Level 2 | Course Level | ||||||||||||||||||||||||||
| Course Description:
It was designed to focus on general insurance concepts and particularly health insurance in addition to health cooperative guaranty programs which are applied in the kingdom. The course will focus on how to use health insurance to reduce the adverse financial impact in case of a loss has become an important element of financial and risk management in our society |
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| Course learning outcomes:
1. Describe the usage of diagnostic medical coding for global classification of insurance to avoid fraud and abuse in the healthcare practice. 2. Define the basic concepts of health insurance and its usage, types of coverage, and terminology of the health insurance industry in Saudi Arabia , health insurance systems globally. 3. Appraise the process of the risk selection and risk adjustment in Health Insurance practices. 4. Analyze the potential of health and preventative measures and the future of health insurance in Saudi Arabia based on the Cooperative Health Insurance System directive issued by the Council of Ministers and Saudi Vision 2030 5. Evaluate the processes of billing, claims, reimbursement in financial impact of health insurance in the Saudi Arabia . |
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Major Topics :
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| Assignments | Quizzes | Mid-Term Exams | Grading: | ||||||||||||||||||||||||||
| Lab Work | Project | Final Exam | |||||||||||||||||||||||||||
| Valerius, J., Bayes, N., Newby, C., & Biochowiak, A. (2020). Medical insurance: A revenue cycle process approach: McGraw-Hill(8th ed.). ISBN: 9781259608551, 1259608557 | Text Book: | ||||||||||||||||||||||||||||
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Hachem W., Wakerley, S., & Neighbour, T. (2017). Insurance and reinsurance in Saudi Arabia: Overview. |
Reference Book (s): | ||||||||||||||||||||||||||||
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January 7, 2021
