Health Information Mgt.

HIM 132

Reimbursement Methodologies
3 Credits ■ As Needed

A comprehensive overview of billing for facility services using ICD-9-CM (International Classification of Diseases, 9th Revision, Clinical Modification), CPT (Current Procedural Terminology) and HCPCS (Healthcare Common Procedure Coding System)codes to complete UB-04(uniform institutional provider hardcopy) claim forms . The course will familiarize the student with health records and how documentation translates to the basics of medical coding, billing, insurance and proper reimbursement . The course also discusses the various reimbursement methodologies affecting facilities and provides an introduction to coding classification systems and the payer and healthcare system in the U .S .

Skills prerequisites: ENG 020, ENG 060 and MAT 018 or MAT 018C.
Prerequisites: HIM 106 or permission of the instructor.