HIM 3276 Healthcare Reimbursement Functions in HIIM (3)

Analysis of the crucial role that health informatics and information management (HIIM) professionals perform in financial systems and functions within healthcare organizations for compliance programs and regulatory requirements. The importance of coding classification systems such as ICD-10-CM, ICD-10-PCS, and CPT are examined. Foundation principles of public and private health insurance, managed care contracting, payment processes, reimbursement methodologies, and revenue cycle management are presented.
Prerequisite: HIM 3006 AND HSA 3110