PMK 660 Coding, Coverage, and Reimbursement (3 Credits)

The proposed course will provide information to help a healthcare professional understand how to run their practice as a business in the U.S. Background of coding systems, ICD-0, CPT, will be introduced and case scenarios will be discussed to see how a coding system links a procedure or product to reimbursement systems and payment. The course will include the way a product or service acquires coverage determination so it is eligible for reimbursement. It will also include the sources of reimbursement, e.g., Medicare, Medicaid, and the type of payment that can be expected by a healthcare professional for implementing the procedure