HIM 182 : Introduction to Reimbursement and Classification Systems

Transcript title

Intro Reimbrsmt/Class Systems

Credits

4

Grade mode

Standard letter grades

Contact hours total

50

Lecture hours

30

Other hours

20

Prerequisites

Instructor approval.

Description

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.

Learning outcomes

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.

Content outline

Reimbursement systems concepts
Reimbursement methodologies
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 materials

Required textbook(s) and the purchase of the current year CPT and ICD-10-CM codebooks. Computer and reliable internet access.

Grading methods

Knowledge Is assessed through graded exams, quizzes, assignments and projects; this class requires a passing grade of 75% or better.

Outside of
expected

Use the COCC Catalog to find extraordinary classes and degree programs. Start your journey here »