Apr 20, 2024  
2016-2017 Saint Joseph’s College Online 
    
Catalog Navigation
  Catalog Home
  College Home Website
  Admissions
  General Information
  Graduate Programs
  Graduate Policies
  Graduate Courses
  Undergraduate Programs
  Undergraduate Policies
  Undergraduate Courses
  Summer Programs
  Summer Courses 2017
  Summer Non-Credit Courses 2017
  Summer Tuition and Fees
  Policies and Procedures
  Consumer Grievance Policy
  Student Resources
  Textbook and Materials
  Graduation
  Brightspace Login
  Distance Learning
  Contact Information
  Administration
  Faculty
  Staff
  On-Campus Programs at a Glance
  Tuition and Fees
  My Portfolio
HELP
2016-2017 Saint Joseph’s College Online [Archived Catalog]

Facebook this Page (opens a new window)
Tweet this Page (opens a new window)
Add to Portfolio (opens a new window)

HIM 320 - Reimbursement Methodologies (effective 1/1/2017)

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
HIM 214, HIM 250, HIM 260, and HIM 330

Assignment Overview
12 weekly lessons/assignments

Course Learning Objectives
Upon completion of this course, you should be able to do the following:

1.      Manage the use of clinical data that is required in prospective payment systems (PPS) in healthcare delivery.

2.      Manage the use of clinical data that is required in other reimbursement systems in healthcare delivery.

3.      Participate in the selection and development of applications and processes for chargemaster and claims management.

4.      Implement and manage processes for compliance and reporting.

5.      Participate in revenue cycle management.

Credits: 3 Offered: February, May, August, and November


Facebook this Page (opens a new window)
Tweet this Page (opens a new window)
Add to Portfolio (opens a new window)