Nov 22, 2024  
2020-2021 College Catalog 
    
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2020-2021 College Catalog [ARCHIVED CATALOG]

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HITC 2133 - Reimbursement Systems and Revenue Cycle Management

Students are introduced to the following reimbursement systems: Ambulatory Patient Classification (APC), Diagnosis Related Groups (DRG), Medicare Severity Diagnosis Related Groups (MS-DRG), Resource Utilization Groups (RUG), Home Health Resource Groups (HHRG), and the prospective payment systems for inpatient rehabilitation and psychiatric facilities. Retrospective and prospective reimbursement systems and capitation are examined. Revenue cycle management issues including advance beneficiary notice, bill preparation, reviewing remittance advice forms, appealing denials, case mix index, and charge master maintenance are investigated. Coding quality and compliance strategies and plans are reviewed.

Prerequisites: HITC 1333  and HITC 1363  with a grade of “C” or better and HITC 2403  or concurrent enrollment, or permission of the instructor. 


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