BTAC248 — Healthcare Reimbursement Methodology
Provides an in-depth overview of reimbursement methods and procedures used in the United States including many location based health insurance prospective payments systems (HIPPS). Study of the entire claims process from patient visit, procedure and diagnostic coding to payment using a variety of billing methods: Centers for Medicare and Medicaid Services forms (CMS), uniform billing (UB) forms and electronic claims submission. Students learn to define billing processes for commercial, federal and managed care insurance plans. Covers the importance of coded data, compliance, health information and charge master maintenance including an overview of fee schedules. Enrollment Requirement: Eligible for ENGL 97 or instructor consent. Course Fee: $20.00 Course
Part of
- Medical Coding and Reimbursement Specialist Certificate
- Medical Coding and Reimbursement Specialist Certificate Curriculum Map
- Medical Office Administration, AAA
- Medical Office Administration, AAA with emphasis in Front Office Curriculum Map
- Medical Office Administration, AAA with emphasis in Medical Coding and Reimbursement Curriculum Map