Title: Examine state and federal regulatory standards.
Course: Medical Coding and Billing II (14151-IV) > Section: Introducing Medical Coding and Billing

Examination should include

- identifying healthcare industry standards
- explaining Medicare, Medicaid, TRICARE, commercial payers, and self-pay
- comparing the regulatory requirements for each.

Process/Skill Questions:

- How would a supplemental policy affect primary care insurance?
- Which insurance is primary if the patient has Medicare coverage?
- What is the proper sequence for patients with multiple insurance coverage (e.g., Medicare, Medicaid, Tricare, commercial)?