Intro Reimbrsmt/Class Systems
Standard letter grades
Contact hours total
Introduces healthcare reimbursement methodologies and healthcare classification (coding) systems. Provides foundational skills for understanding healthcare financing and reimbursement. Introduces the use of classification systems with a focus on the Current Procedural Terminology and the International Classification of Diseases Clinical Modification.
1. Differentiate reimbursement systems used by government-sponsored health plans and commercial insurance companies.
2. Identify classification systems used in healthcare in the U.S.
3. Relate reimbursement methodologies to classification standards.
4. Differentiate the use, format, and structure of Current Procedural Terminology and the International Classification of Diseases Clinical Modification.
Reimbursement systems concepts
Group and individual health Insurance, government-sponsored health plans and workers’ compensation
Classification systems concepts
Classification systems: Current Procedural Terminology (CPT), International Classification of Diseases, 10th Revision, Clinical Modification (ICD-10-CM)
Introduction to additional classification systems (ICD-10-PCS, HCPCS Level II/National Codes, DSM-5, ICD-O, ICF, NDC)
Required textbook(s) and the purchase of the current year CPT and ICD-10-CM codebooks.
Computer and reliable internet access.
Knowledge Is assessed through graded exams, quizzes, assignments and projects; this class requires a passing grade of 75% or better.