Oct 21, 2019  
2018-2019 Catalog 
    
2018-2019 Catalog [ARCHIVED CATALOG]

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HIM 204 - Insurance Billing & Reimbursement

Hours: 3
A course that provides theory and hands-on/skill application of the principles and practice of insurance and reimbursement processing. It includes the assignment and reporting of codes for diagnoses and procedures/services; completion of CMS-1450 and CMS-1500 claims for inpatient, outpatient, emergency department, and physician office encounters; and the review of inpatient and outpatient cases to identify issues of fraud and abuse. Inpatient and outpatient reimbursement will be determined and source documents interpreted (e.g. explanation of benefits, Medicare Summary Notices, and so on).

Prerequisite: HIM 203  
Prerequisite/Corequisite: HIM 202  



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