HIM 2273C - Health Insurance Processing And Reimbursement

Institution:

Santa Fe College

Subject:

Description:

O This course explores and provides a contemporary look at the principles and practice of insurance and reimbursement processing, including the completion of the claims for inpatient, outpatient, emergency department, and physician office encounters. The students will also explore the structure and purpose of insurance plan options, charge master review and revenue cycle process, carrier requirements, State and Federal regulations (i.e. NCCI), and healthcare reimbursement methodologies such as prospective payment systems, fee for service, managed care, RBRVS, APC?s and global payments. This course includes the benefits and elements of a HIM compliance program as well as compliance considerations unique to certain healthcare settings. This. Full Description

Credits:

3.00

Credit Hours:

Prerequisites:

Corequisites:

Exclusions:

Level:

Instructional Type:

Lecture

Notes:

Additional Information:

Historical Version(s):

Institution Website:

www.sfcollege.edu

Phone Number:

(352) 395-5000

Regional Accreditation:

Southern Association of Colleges and Schools

Calendar System:

Semester

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