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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