HIT 272 - Reimbursement Systems in Healthcare

Institution:

College of Lake County

Subject:

Description:

In this course, students will learn the history, rationale, and methodology of the systems used by third-party payers to determine the reimbursement that health care providers will receive. Reimbursement concepts include fee-for-service, managed care, capitation systems, Diagnosis-Related Groups (DRGs), Resource Based Relative Value Scale (RBRVS), Ambulatory Payment Classifications (APCs), and related concepts. The use of the charge description master (chargemaster) in reimbursement will be discussed. The importance of compliance with regulations and the related issues of fraud and abuse will also be addressed. Prerequisites: Completion of one coding course (HIT 117 or MOA 117 or HIT 118 or MOA 118) (C or better in any) and admission into the program Corequisite: Concurrent enrollment in a second coding course (HIT 117 or MOA 117 or HIT 118 or MOA 118)

Credits:

0.00 - 2.00

Credit Hours:

Prerequisites:

Corequisites:

Exclusions:

Level:

Instructional Type:

Lecture

Notes:

Additional Information:

Historical Version(s):

Institution Website:

WWW.CLCILLINOIS.EDU

Phone Number:

(847) 543-2000

Regional Accreditation:

North Central Association of Colleges and Schools

Calendar System:

Semester

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