HIM 63 - Reimbursement

    Recent Professors
    Ruth A. Grimes
    Recent Semesters
    Spring 2027, Fall 2026, Spring 2026
    Class Size
    35 students
    Difficulty
    6.1Demandingout of 10
    Credits
    3
    Spring 2027 Sections
    View Spring 2027 sections of HIM 63
    Transfers To
    CSU
    Description
    This course introduces students to the reimbursement methodologies used in healthcare in the United States. The focus of the course will be on the accurate preparation and maintenance of clinical records and medical documentation. Students will analyze insurance plans spanning government and private sectors and learn to properly complete the Centers for Medicare and Medicaid Services claim form (CMS 1500) used in medical outpatient facilities. Topics include working with specific insurance companies, filing error-free claims, resubmitting denied claims, utilizing effective collection strategies, and handling the appeal process.