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2022 Spring Main
HIT1400/Lecture/50 - Healthcare Reimbursement
|
Credits
2.00
This course introduces the student to reimbursement policies and procedures in the use of clinical data, organization of healthcare delivery system including managed care and capitation: issues and systems, including the compliance environment; and payers. The theory and use of reimbursement vocabulary and systems such as Diagnostic Related Groups (DRGs), Resource-Based Relative Value Scare (RBRVS) are applied, Ambulatory Payment Classifications (APCs) are applied. Revenue cycle discussions and analysis include data flow from admission to billing and the analysis of casemix. In addition, other external forces, such as Health Insurance Portability and Accountability Act and Recovery Audit Contractors are reviewed. Other topics covered/applied include, CMS 1500 and UB92 billing forms; charge masters, EDI, billing technologies, and application programs. Students will learn the value of using established guidelines to comply reimbursement and reporting requirements, to perform data quality reviews to validate code assignments. 2 Cr Hrs. Course Requirement(s): HIT1200 and HIT1301 must be taken before or concurrently with this course.
Registration Type
Traditional
Fees
Lab Fee
$20.00
(
Fee Group
All)
Instructors
Schofield, Lisa
Duration
1/10/2022 - 5/7/2022
Schedule
Online 12:27 AM - 12:28 AM; Marion Technical Col, ONLINE, Room
Prerequisites
( HIT1200 / Lecture
<min grade = C, min credit = 2.00, can be taken concurrently>
and
HIT1301 / Lecture
<min grade = C, min credit = 4.00, can be taken concurrently>
)
Corequisites
N/A
Credit Types
Credit DevEd Transfer
Class
15
Seats
| 9
Remaining
Open (Minimum Met)
Primary population and other student populations allowed to register for this course:
Primary Population
# Others Allowed
# Others Registered
Campus
Marion Technical College
15
0
Program
Credit
15
0
College
AlliedHealth
15
0
Department
HIT
15
6
Curriculum
Health Info Tech
15
1
Population
Semester
15
6