Sep 28, 2022  
2021-2022 Lane Community College Catalog 
2021-2022 Lane Community College Catalog [ARCHIVED CATALOG]

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HIM 222 - Reimbursement Methodologies

4 Credit(s)

This course will provide the student with a comprehensive overview of billing for facility services using the ICD-10-CM, CPT and HCPCS codes to complete UB-04 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 United States.

Learning Outcomes
  1. Differentiate common national models of healthcare delivery and payment systems and appreciate the influence of the federal government in the US healthcare sector
  2. Differentiate the different code sets approved by HIPAA of 1996
  3. Discuss and differentiate major type's health care insurance plans: Voluntary, Employer based, and Government sponsored (Medicare and Medicaid)
  4. Define managed care, including delineate characteristics of

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