HIM 203 Reimbursement Methodologies

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Keywords

Health Information Management , Health Information Management 203 , HIM203

Project

H2P Health Professions Pathways

Authors

Young, Micah

Date Submitted

2011

Material Type

Syllabus

Secondary Material Type

Institution

City Colleges of Chicago

Industry Partner

Oak Street Health
Advocate Health Care
Stroger
Mercy Hospital

License

CC BY

Funding Source

TAACCCT Round 1

Additional Public Access

Abstract

This course introduces terminology, rationale and methodology used by third-party payers to determine the reimbursement for health care providers. Proper completion of the 1500 billing form and legal issues related to reimbursement will be discussed, as well as the role health information management plays in the charge master maintenance, reimbursement monitoring, revenue cycle. An overview of hospital and nursing home billing systems including proper submission of UB-92 billing forms will also be covered. Writing assignments, as appropriate to the discipline, are part of the course.

Industry (NAISC)

Educational Services -- Educational Services -- Junior Colleges (6112)

Occupation (SOC)

Healthcare Practitioners and Technical Occupations -- Medical Records and Health Information Technicians (29-2071)

Instructional Program (CIP)

Health Professions and Related Clinical Sciences (51)

Credit Type

Credential Type

Certificate
Associate Degree

Educational Level

2nd Year Community College or equivalent

Skill Level

Quality Assurance Organization