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AHA 206 - Reimbursement and Financing Methods
Health care is the largest service industry in the United States. Health care managers are controllers of significant financial resources that must be managed with an eye toward the bottom line in a highly competitive marketplace. They must be well versed in the areas of financial planning budget controls and reimbursement for services provided.
This course provides information and detailed approaches for the construction and monitoring of a budget in a health care setting. It also explores reimbursement trends and issues from the perspectives of providers, payers and consumers of health care.
Upon successful completion of this course, students should be able to:
- Define terminology used in discussing the financial aspects of health care.
- Describe strategies and processes for projecting supply expenses, as well as costs related to personnel salaries and fringe benefits.
- Develop a format for capital budget planning.'
- Formulate a budget request.
- Explain the steps necessary to monitor and control a budget.
- Identify the implications of managed competition and global budgeting on reimbursement initiatives.
- Analyze the impact of health care reform and changed reimbursement strategies on department management.
- Evaluate the effects of cost containment measures used by multiple entities in the health care continuum.
- Describe the emerging methods of reimbursement in fee-for-service and managed care environments.
Prerequisite: Philosophy of Managed Care (AHA 209)
3 hours each week or weekend format 3 credits