Coding, Classification & Reimbursement

principles of healthcare reimbursement

  • 1.  principles of healthcare reimbursement

    Posted 03-14-2019 14:24

    My name is Safyr and I'm currently completing my AAS in HIT and one of the courses I'm taking is Principles of Healthcare Reimbursement. Given it is a lot of reading but my question is, what is the best way to approach a course such as this one?

    Safyr Simpson

  • 2.  RE: principles of healthcare reimbursement

    Posted 03-14-2019 17:41

    I would focus on the learning objectives to narrow down the reading.  I wouldn't spend any time on something that isn't covered in the learning objectives or lecture.  I would also at least get a basic understanding of each key terminology (for example, OPPS) and not necessarily memorize extensive details about it unless required by the instructor. Familiarization is key.

    Good luck in your course!

    Cristina Co
    Facility Outpatient Coder

  • 3.  RE: principles of healthcare reimbursement

    Posted 03-20-2019 15:17
    Thank you for responding. Yes I find that narrowing it down to mostly the terminology is a good way to understand.​

    Safyr Simpson

  • 4.  RE: principles of healthcare reimbursement

    Posted 03-15-2019 12:09
    Hi Safyr,
    ?Congratulations on pursuing your studies! I have taught for many years, so here are tips that my students have found most helpful.

    To begin a course like this, be sure to read the syllabus and any information your instructor gives you, so you understand what will be happening. When there is a lot of reading, it is usually best to do it in small chunks. First, become familiar with the chapter in general. Read any objectives, outline, key words list, and introduction at the beginning of the chapter. Usually there is a summary at the end of the chapter. Read that before you dive in because this will give you a idea of the main topics you need to focus on.

    Then dvidie the chapter in to small "chunks" that you can read for about 15 minutes at a time. There is a lot of technical information in a class like this, and it is difficult to absorb in one sitting. Even if you read for 15 minutes, then do something else for 15 minutes, then come back and read some more. Use a higlighter pen (physical or electronic) to mark key information. Complete any exercises or questions that are given along the way, even if they are not "required". You will probably have an assignment, so complete the assignment and re-read any parts of the chapter needed to answer the questions.

    When you are done reading, read the objectives, key terms, and summary again and be sure you understand everything listed. If you do not, and it is normal to not get everything on the first try, go back and re-read those parts of the chapters. Look up any key terms that you can't define on your own. Some students like to make flashcards of the the key terms.

    The first time you read a chapter you are getting the basic idea and the next time you can build more understanding. Some students like to read certain things out loud. This re-enforces your learning because now you are hearing the information as well as seeing it. Some students like to write out their own notes as they read. This re-enforces your learning because now you are writing the information as well as seeing it.

    Write down any questions you have as you read so you can ask your instructor for clarification. Try to be specific so your instructor can best help you. For example, rather than saying "I don't understand this chapter. Can you help me?" ask something more specific, such as "I don't understand the purpose of MS-DRGs. I've read the book a few times, so can you explain it in a different way?"

    Have fun, this will be a great class for your career.


    Lorraine Papazian-Boyce, MS, CPC
    Author, Pearson's Comprehensive Medical Coding: A Path to Success

  • 5.  RE: principles of healthcare reimbursement

    Posted 03-20-2019 15:15
    Thank you very much for your input, I will definitely put some of these suggestions into practice.​

    Safyr Simpson