HIT 422 - Health Care Finance and Revenue Cycle Management

3 credits (Hrs. 3 Lec)

This course will examine healthcare finance reimbursement systems. The student will be introduced to reimbursement to the healthcare administrator and provides them a comprehensive outlook on who are the payers in health care, the payment systems in health care, basic coding instruction, revenue cycle management, electronic medical record, what fraud and abuse is and how it can have a negative impact on your facility, some key tools that can have a negative impact on your facility if they are not managed daily such as transfer cases and high cost outliers, and tomorrow’s trends. The student will also be introduced to other payment models and payer types such as managed care, commercial insurance, Medicaid and Medicare, pay-for-performance, value based purchasing, and accountable care organizations. Overall, this course will provide the student with the full picture of the mechanics of insurance and reimbursement and the impact they have on the financial aspect of healthcare organizations.

Prerequisite(s): BFIN 322