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CSM 700: Reimbursement Systems


This course reviews the diverse financial systems within American healthcare, focusing on reimbursement methods and payment systems. Included are insurance plans, government funding systems such as Medicare and Medicaid, and managed care programs such as HMO’s and PPO’s.

This is a master’s level course which prepares you to work as a Case Manager or member of a healthcare facility Quality Improvement or Utilization Review team. Excellent positions are also available with State and Federal healthcare agencies and Quality Foundations.

Textbook:Understanding Health Insurance: A guide to Bill and Reimbursement. (9th ed.) Rowell, J. & Green, M. Thomson Delmar Learning Publisher. 2008: ISBN 13: 9781418067069, ISBN 10: 1418067067