Reimbursement Methodologies

HITS 230
Description: 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.

Prerequisite: HITS-220
Credits: 3

Currently Offered

Course # Days Time Dates Instructor Seats  
HITS 230-45 Online Online 10/26/15 - 12/18/15 Staff 15 Register