HITM 1200 - Billing and Reimbursement

2 Credit(s) 2 credits lecture/0 credits lab

This course provides an introduction to medical claim form preparation and processing. Topics covered in this course will include: Commercial, managed care and federal insurance plans; the reimbursement systems and prospective payment systems (PPS) used in the healthcare industry; billing processes and procedures; clean claims and denial; the National Correct Coding Initiatives (NCCI); chargemaster maintenance; regulatory guidelines; and reimbursement monitoring and reporting.

Course Prerequisite(s): HITM 1221