HINM 230 - Revenue Cycle and Reimbursement Management

(TP/SS only) CE

An introduction to electronic patient billing in ambulatory settings using various insurance and reimbursement systems. Students prepare health insurance claim forms for various types of insurance plans and use this information as a practice management and outcomes assessment tool. Additional topics include billing and claims management issues. PREREQUISITE(S): Admission to the health information management program or consent of program coordinator. Two hours each week. Formerly HI 222.

2 semester hours

Course Outcomes:
Upon course completion, a student will be able to:

Evaluate the accuracy of diagnostic/procedural coding.
Evaluate the accuracy of diagnostic/procedural groupings.
Differentiate the roles and responsibilities of various providers and disciplines, to support documentation requirements throughout the continuum of healthcare.
Apply policies and procedures to ensure the accuracy and integrity of health data
Apply policies and procedures for the use of data required in healthcare reimbursement.
Evaluate the revenue cycle management process.
Apply policies and procedures to ensure the accuracy and integrity of health data both internal and external to the health system.
Adhere to the legal and regulatory requirements related to health information management.
Identify discrepencies between suppporting documentation and coded data.

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