HCM520 Health Care Reimbursement Systems

Provides an overview of how the 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; state rate setting; risk management; new models of reimbursement; and the role of billing, coding, and accounts receivable are explained. (3)