HIT 2300 - Healthcare Reimbursement

Prerequisite(s): HIT 1350; HIT 1450; HIT 1550 all with a C or better.
Introduction to health care reimbursement systems found in medical offices, physician medical specialties, ambulatory service locations and hospitals. A detailed understanding is gained of third party payers, payment methodologies (managed care, capitation, prospective payment systems, fee schedules, etc.), legal and regulatory issues, reimbursement methods, and common insurance plans. Students apply medical coding in health claims processing procedures. Grouper Software is used to assign DRG and APC for reimbursement. Students will have hands-on experience with computerized encoding systems. Credit(s): 3