Nov 24, 2024  
Undergraduate Catalog (ARCHIVED) 2021-2022 
    
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Undergraduate Catalog (ARCHIVED) 2021-2022 [ARCHIVED CATALOG]

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HIM 364 - Revenue Cycle Management

3 credits
Study of the reimbursement methodologies, tools and techniques that healthcare organizations use to collect payments for services rendered, respond to governmental and other external audits; including an understanding of CCI and MUE edits, and the role of HIM in the claims denial and appeal process.  Topics also include OIG work plan, writing proper physician queries and understanding the purpose of case mix index and chargemaster in healthcare organizations.  Concepts integrated into laboratory and computer experience utilizing manual and automated encoding/grouping systems. Prerequisite(s): HIM 180 , HIM 240 ,  .  Concurrent enrollment in HIM 362  is permitted.


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