CCOG for HIM 285 Spring 2024

Course Number:
HIM 285
Course Title:
Healthcare Financing and Compliance
Credit Hours:
Lecture Hours:
Lecture/Lab Hours:
Lab Hours:

Course Description

Introduces the essential components of financing and compliance in healthcare facilities. Prerequisites/concurrent: HIM 273. Audit available.

Intended Outcomes for the course

Upon completion of the course students should be able to:

  1. Identify potential abuse or fraudulent trends through data analysis.
  2. Adhere to the legal and regulatory requirements related to health information management.
  3. Validate the accuracy of diagnostic and procedural groupings.
  4. Apply policies and procedures to the use of data required in healthcare reimbursement.
  5. Evaluate the revenue cycle management processes.
  6. Analyze current regulations and established guidelines in clinical classification systems.
  7. Comply with ethical standards within the HIM field.

Outcome Assessment Strategies

Students will demonstrate these learning outcomes by these tasks conducted individually and in cooperation with other students:  

  1. Answer theoretical and application questions on information covered in the lecture, graded assignments and reading assignments.
  2. Complete a billing audit of documentation against charges.

Course Content (Themes, Concepts, Issues and Skills)

To complete the outcomes the student must have skills and knowledge in:  

  • communication techniques
  • information technologies
  • health record content
  • state, federal, and accreditation documentation requirements
  • healthcare facility organization
  • critical thinking
  • classification systems
  • data quality attributes
  • abstracting
  • data security
  • health record analysis
  • medical vocabularies
  • data collection tools