Jan 21, 2020  
2018-19 College Catalog 
2018-19 College Catalog [ARCHIVED]

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HIT 243 - Reimbursement Methodologies

A study of the reimbursement systems and issues which include the compliance environment; payers and reimbursement vocabulary.   Reimbursement systems that are studied include the Inpatient and Outpatient Prospective Payment System, MS-DRGs, RBRVS, and APCs.  The Chargemaster processes, EDI billing technologies and applications programs are reviewed.  The code sets of HIPAA are reviewed, as well as claim processing and revenue cycle management.

Co-requisites: HIT 241  

Prerequisites: HIT 231  and HIT 233  and HIT 236  

Credits: 2(Lec: 2)

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