BIT 2630 - Medical Reimbursement Strategies

Lec. 3; Cr. 3

This course explores the important aspects of the reimbursement process of third party payers. Medicare, and Medicaid from creating efficient patient information forms to claims monitoring and appeals. Emphasis is placed on compliance techniques, managed care competition, pre-certification, prior authorization, and utilization review. This course is designed to increase billing efficiency through appropriate documentation and effective accounts receivable management.

Prerequisite(s): Must have a grade of “C” or better in BIT 1620 and BIT 2625 .