BTAC 248 - Healthcare Reimbursement Methodology

Credits: 5
Provides an in-depth overview of reimbursement methods and procedures used in the United States including many location based health insurance prospective payments systems (HIPPS). Study of the entire claims process from patient visit, procedure and diagnostic coding to payment using a variety of billing methods: Centers for Medicare and Medicaid Services forms (CMS), uniform billing (UB) forms and electronic claims submission. Students learn to define billing processes for commercial, federal and managed care insurance plans. Covers the importance of coded data, compliance, health information and charge master maintenance including an overview of fee schedules.

Prerequisite: BTAC 142, BTAC 143, BTAC 145 and BTAC 146, all with a grade of 2.0 or higher; or instructor’s permission.

Print this Page