Health Insurance and Reimbursement

Catalog description

Students explore reimbursement and payment methodologies applicable to healthcare provided in various settings in the United States. Forms, processes, practices, and the roles of health information professionals are examined. Concepts related to insurance products, third party, and prospective payment and managed care capitation are explored. Issues of data exchange among patient, provider, and insurer are analyzed in terms of organizational policy, regulatory issues, and information technology operating systems. Management of the chargemaster and the importance of coding integrity are emphasized. This is an upper division online course.