This course examines the complex financial systems within today's healthcare environment, providing an understanding of the healthcare reimbursement methodologies used to facilitate provider reimbursement. Students will learn about applicable state and federal regulations related to HIPAA-mandated electronic claims transactions and CMS-1450 (commonly referred to as the UB-04) claims processing. Other topics such as payer requirements and voluntary insurance will be examined. An introduction to regulatory compliance, revenue cycle and charge description master (CDM) maintenance will be provided. This course will help prepare the student to pursue a multifunctional career path in areas dealing with health information management and patient financial services in physician offices and/or acute care facilities. Students must complete this course with a grade of "C" or higher.
Prerequisites: HIM 1622, HIM 2722C, HIM 2510 and HIM 2012 with grades of "C" or higher.
Terms Typically Offered:Spring
Textbook information will be available online for each term's courses 45 days prior to the first day of classes
for the term.
The courses in this catalog are identified by prefixes and numbers that were assigned by Florida's Statewide
Course Numbering System, a system used by all public postsecondary institutions in Florida and 32 non-public
institutions. Seminole State controls the description, credit and content of its own courses.