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HIMA240 - Healthcare Reimbursement Methodologies
This course provides students with a foundation of the basics of health insurance and public funding programs, managed care contracting, and payment for services. The content focuses on health insurance plans, government-sponsored healthcare programs, managed care plans, fee schedules, resource-based relative value system for physician payment and prospective payment for various inpatient settings. Students will examine various reimbursement methodologies, and the interconnection between clinical coding, compliance, and reimbursement. Within this, revenue life cycle management will be studied and its impact on provider financial stability. (Prerequisite: HIMA110)
Prerequisites
Corequisites
N/A
Schedule of Classes
09/24/18 - 03/01/19 |
03/04/19 - 04/28/19 |
Winter 2019 Session D - 8 Week session |
12/31/18 - 05/31/19 |
06/03/19 - 07/28/19 |
Spring 2019 Session D - 8 Week session |
Course Materials
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Book Title: |
Principles of Healthcare Reimbursement, 4th ed. - e-book available in the APUS Online Library.
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ISBN: |
9781584263401
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Publication Info: |
American Health Information Management
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Author: |
Casto, Anne
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Unit Cost: |
$99.95
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Electronic ISBN: |
N/A
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Electronic Unit Cost: |
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Book Title: |
To find the library e-book(s) req'd for your course, please visit http://apus.libguides.com/er.php to locate the eReserve by course #. You must be logged in to eCampus first to access the links.
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Publication Info: |
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Author: |
No Author Specified
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Unit Cost: |
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Electronic ISBN: |
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Electronic Unit Cost: |
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Book Title: |
EHR Go (aka Neehr Perfect) - Program Key & purchase instructions provided inside the classroom. This material is not covered by the APUS Book Grant.
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ISBN: |
N/A
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Publication Info: |
N/A
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Author: |
No Author Specified
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Unit Cost: |
N/A
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Electronic ISBN: |
N/A
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Electronic Unit Cost: |
$285.00
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