HIM 203 Reimbursement Methodologies

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.
Microsoft Word Syllabus only (24 KB)
Microsoft Word Subject Matter Third Party Review for Quality (31 KB)

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Date:
2011
Primary Material Type:
Syllabus
Institution:
City Colleges of Chicago
Project Name:
H2P Health Professions Pathways
TAACCCT Round:
1
Subjects:
Health Information Management, Health Information Management 203, HIM203

Industry / Occupation

Industry Partner:
Oak Street Health, Advocate Health Care, Stroger, Mercy Hospital
Industry Sector:
Educational Services -- Educational Services -- Junior Colleges (6112)
Occupation:
Healthcare Practitioners and Technical Occupations -- Medical Records and Health Information Technicians (29-2071)

Education / Instructional Information

Instructional Program:
Health Professions and Related Clinical Sciences (51)
Credit Type:
  • Credit
Credential Type:
  • Certificate
  • Associate Degree
Educational Level of Materials:
  • 2nd Year Community College or equivalent
Time Required:
16 weeks
Language:
English (United States)
Interactivity Type:
Active - requires user to respond to prompts, questions, etc.
Quality Note:
Please see Subject Matter Expert Third Party Review of Deliverables document
Quality of Subject Matter was assured by:
  • Conducting an evaluation of the instructional materials and providing a report
  • SME Quality Report is posted in Skills Commons
Quality of Online/Hybrid Course Design assured by:
  • None
Course Note:
Health Information Management

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http://ccc.edu/menu/Pages/Accessibility.aspx 
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Copyright / Licensing

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Creative Commons License
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