Marymount University
Undergraduate Catalog 2012-13
HIM 315 Health Care Reimbursement Systems
Provides an overview of how the health care reimbursement systems work in the United States. The course focuses on the evolution of insurance, HMOs, and managed care. Students learn how hospitals, outpatient centers, clinicians, and other providers are reimbursed for their services. Private and public reimbursement methods; state rate setting; risk management; newer models of reimbursement; the role of billing, coding, and accounts receivable; and managed competition are explained. Prerequisites: HIM 215 and HIM 225. (3)
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