HIT 132 : Revenue Cycle Management and Documentation

This course includes a review of health care delivery systems and the uses of coded data in reimbursement and payment systems appropriate to the healthcare setting. Course instruction includes a focus on revenue cycle management including application of coded data, prospective payment systems, billing and insurance procedures, third party payers, explanation of benefits, managed care/capitation, and chargemaster description. The course will review information management practices of agencies that provide health services in different health care settings. Student competencies include a demonstration of reimbursement and payment system principles, and billing applications (manual and/or computer-assisted). The student will be able to describe and contrast the structure of health services in relation to operational and accrediting agency standards, and the role of the health information practitioner in each of these settings.