Jan 22, 2021  
2019-2020 Undergraduate Catalog 
    
2019-2020 Undergraduate Catalog [ARCHIVED CATALOG]

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HIT 230 - Reimbursement Methodologies


This courses focuses on the history, rationale and methodology of the systems used by third-party payers to determine the reimbursement health care providers will receive. Reimbursement concepts include fee-for-service, managed care, capitation systems, Diagnosis-Related Groups (DRGs), Resource Based Relative Value Scale (RBRVS), Ambulatory Payment Classifications (APCs), and related concepts. The use of the charge description master (charge master) in reimbursement will be discussed. The importance of compliance with regulations and the related issues of fraud and abuse will also be addressed.
Prerequisites: HIT 220 
Credits: 3
CE



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