HLIM216M: Reimbursement Methods

Theory Hours 3 Lab Hours 0 Credits 3

Focuses on understanding healthcare payment system methodologies used in relation to managed care, commercial insurance and government sponsored prospective payment systems including how reimbursement systems affect payers, consumers, providers, policy makers and information technology systems. Students will gain an in-depth understanding of the revenue cycle, regulatory compliance strategies, National Correct Coding Initiatives (NCCI), reporting and the role accurately coded data plays in billing policies and procedures.