HSOM 2100 — Reimbursement Strategies
Lecture Hours: 3; Lab Hours: 0 This course explores the important aspects of the reimbursement process of third-party payers, Medicare, and Medicaid, from creating efficient patient information forms to claims monitoring and appeals. It emphasizes compliance techniques, managed care competition, precertification, prior authorization, and utilization review. In this course, students learn to increase billing efficiency through appropriate documentation and effective accounts-receivable management operations.