Course Abstract Details

HIT - 223, Reimbursement Methodologies

Credits: 3

Course Description

Reimbursement Methodologies, explores the private and government-sponsored financial systems that exist today within the healthcare environment. The course will provide an overview of various types of health plans including managed care, prospective payment systems, and other reimbursement methodologies employed in various healthcare settings. Other areas such as coding, billing, claims processing, and charge master maintenance will be covered in additional detail. Current issues affecting reimbursement such as revenue cycle management, regulatory compliance, coding compliance, and role of quality improvement organizations will also be explored. Prerequisite: HIT-222 with a "C" grade or better. Three hours lecture each week. Three credits. Three billable hours.

Learning Goals

The abbreviations in parentheses represent Learning Goals which have been identified for this course and program of study:

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