HCMG 4023: Technical Reimbursement Methodologies

HCMG 4023: Technical Reimbursement Methodologies

This course introduces the process of filing claims using payer-specific rules and the importance of information collection in the claim filing process. It covers major reimbursement systems in the U.S and focuses on prospective payment systems, third party payers, and billing and insurance procedures. Included are types of reimbursement classifications, such as Case Mix Groups, Diagnosis Related Groups, and All Patient-Diagnosis Related Groups. 3 credit hours. Prerequisite: None.