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Healthcare Reimbursement Certificate

Develop or enhance knowledge and skills required for a career in healthcare reimbursement. Learn healthcare reimbursement requirements and outside entities’ reimbursement methodologies. Enrollment in this certificate requires documentation of work experience in the healthcare field or successful completion of the BIT Foundations certificate.

Delivery Format
Certificate can be completed online.

Curriculum Credits
Excel Intermediate     1
Medical Terminology     3
Organization of Healthcare     2
CPT Coding for Biomedical Informatics Technicians     3
Private and Government Reimbursement     3
Introduction to the Health Record     1
Total Credits       13
   

Course Descriptions:
Excel Intermediate - 1 credit
10103124    
    
Develop skill to write and debug macros, create custom menus, perform database functions and develop graphs. Prerequisite: Microsoft Office-Beginning 10103106 or Excel-Beginning 10103123

Organization of Healthcare - 2 credits
10530125     
    
This course examines the organization and delivery of health care services, external standards, regulations, initiatives, payment and reimbursement systems and healthcare providers and disciplines.

CPT Coding for Biomedical Informatics Technicians - 3 credits
10530144   
     
Prepares learners to assign current procedural terminology (CPT) codes supported by medical documentation with entry-level proficiency. Students are familiar with and use standard coding references. Emphasis is placed on accuracy, CPT instructional notations, conventions, rules and official coding guidelines when assigning CPT codes to case studies, and actual medical record documentation. Application of modifiers to services and relationship to financial impact is also covered. Prerequisites: Medical Terminology 10501101; General A & P 10806177; Human Diseases for Health Professions 10530182; Medical Records 10530111

Private and Government Reimbursement - 3 credits
10530146    
    
Introduces students to the vocabulary of government and private based healthcare reimbursement. Students will identify and compare the varieties of private healthcare insurance including the advantages and disadvantages of each for the provider and for the policyholder. Learners assign Diagnosis Related Groups (DRGs), Ambulatory Payment Classifications (APCs), and Resource Utilization (RUGs) with entry-level proficiency using computerized encoding and grouping software. HIPAA guidelines are utilized throughout. Corequisites: ICD-9-CM Coding for BIT 10530133; CPT Coding for BIT 10530144

Introduction to the Health Record - 1 credits
10530181
  
Prepares learners to illustrate the flow of health information in various health care delivery systems and within the health information department. Prepares learners to retrieve data from health records. Professional ethics, confidentiality and security of information are emphasized.

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