HIM 2223 INTRODUCTION TO CODING AND REIMBURSEMENT SYSTEMS 3 credits

Prerequisites: Admission to the Healthcare Informatics A.S. degree program and (CGS 1070 with a grade of “C” or better or Computer/Information Literacy Competency requirement), HSC 1531 with a grade of “C” or better or program director approval. This course will review the various medical coding systems used for reimbursement of healthcare services and focus primarily on International Classification of Diseases (ICD) and Current Procedural Terminology (CPT) coding systems utilized by hospitals, clinics, and physician offices. Various reimbursement methodologies including Diagnosis Related Groups (DRGs), Ambulatory Payment Classification Groups (APCs), and Resource-Based Relative Value Scale (RBRVS) will be addressed. The use of computer software and systems such as encoders, charge master and revenue cycle tools, and electronic billing processes to support accurate and efficient coding, billing, and reimbursement operations will also be covered. 47 contact hours.