Oct 01, 2020  
2015-2016 Saint Joseph’s College Online 
    
2015-2016 Saint Joseph’s College Online [Archived Catalog]

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HIM 320 - Reimbursement Methodologies


Provides an understanding of the fundamental reimbursement concepts and methods of health care systems and describes the role of the manager, health information manager, and personnel.  Strategies for compliance are examined, as well as charge master management, case mix management, payment systems, a variety of payment or insurance plans, as well as the revenue cycle process.

Prerequisites & Notes
HA 205, HIM 250, HIM 260

Assignment Overview
  • Assignments: 4 Units
  • Interactivity: Discussion Board
  • Final Assessment: Paper


Course Learning Objectives
Upon completion of this course, students will be able to: 

  • Manage the use of clinical data required in prospective payment systems (PPS) in health care delivery.
  • Manage the use of clinical data required in other reimbursement systems in health care delivery.
  • Participate in the selection and development of applications and processes for charge master and claims management.
  • Implement and manage processes for compliance and reporting.
  • Participate in revenue cycle management.

 

Credits: 3




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