|
|
|
May 01, 2024
|
|
2019 - 2020 College Catalog [ARCHIVED CATALOG]
|
HLTH 303 - Healthcare Reimbursement & Coding Methodologies
Credit Hours: 3
Lecture Hours: 3
Laboratory Hours: 0
Prerequisite(s): HLTH 200
Restriction(s): None
Corequisite(s): None
This course is designed to give students a basic understanding of how medical coding works. It will look at how basic coding systems and processes affect billing, insurance, reimbursement, etc. The course will also cover Hospital Value-Based Purchasing program. Topics of discussion will include diagnosis and procedure coding, coding for reimbursement and the basic criteria for evaluation under the Value-Based Purchasing program.
Student Learning Outcomes of the Course:
- Document the diagnosis
- Apply general coding guidelines
- Identify types of diagnosis
- Apply procedure coding guidelines
- Identify different coding:
- Medical and surgical
- Ancillary
- PCS
- CPT
- Apply basic codes for
- Claim submission
- Claim processing and adjudication
- Payment methodologies.
- Learn the basics of Hospital Inpatient Quality Reporting
- See how Diagnosis Related Group (DRG) payments affect funding
- Apply basic measurements of VBP
- 12 clinical process of care measures
- 8 Patient experience care dimensions
|
|
|
