HIT 215 - Reimbursement Methodology

Class Hours: 1 Lab Hours: 2 Clinic/WkExp Hours: 0 Credit Hours: 2

Prerequisite: None
Corequisite: None
Local Prerequisite: Acceptance in HIT program or permission from instructor
Local Corequisite: HIT 214

Additional Fees: $7.50 Lab

This course covers reimbursement methodologies used in all healthcare settings as they relate to national billing, compliance, and reporting requirements. Topics include prospective payment systems, billing process and procedures, charge master maintenance, regulatory guidelines, reimbursement monitoring, and compliance strategies and reporting. Upon completion, students should be able to perform data quality reviews to validate code assignment and comply with reimbursement and reporting requirements.