Health Care Informatics

LESSON 12 Paying for Care and Health Information LEARNING OUTCOMES ______________________________________________________________________________

In this lesson, you will do the following:

Describe how coding, reimbursement, and billing are impacted by health information systems.

READINGS

The following reading assignments are for Lessons 9 through 12:

Gartee Text:

Chapter 4, pp. 74 - 95

Chapter 5, pp. 98 - 126

Chapter 6, pp. 127 - 151

Chapter 9, pp. 208 - 236

Chapter 10, pp. 237 - 259

ACTIVITIES / ASSESSMENTS

The following activities/assessments are for Lessons 9 through 12:

1. Read the assigned pages from the Gartee text.

2. Review the Lecture Notes, Unit 3 PowerPoint, and Voice Pod.

3. Participate in the weekly discussion question.

4. Complete the written assignment.

WRITTEN ASSIGNMENTS

Hospital Medicare Payment System - DRGs:

Research how large hospitals are paid by a Medicare fee for service reimbursements (DRG’s).

Include a brief history and relate how health information supports the request for a payment.

PLEASE NOTE: All graded assignments for the lessons in this unit should be grouped together

and submitted as ONE document using the Assignment Submission form accessed from your

course homepage or http://www.sjcme.edu/gps/assignments.

All activities/assignments for this unit should be as follows:

1. Should include a cover sheet for each assignment stating the following:

 Course (HA 214)  Your Name  Unit and Lesson Number  Date Submitted

2. Each individual assignment number and copy of the assignment directions should be included in the submission as the starting header of each lesson.

3. Carefully check grammar and spelling.

4. Use APA format for any research or sources that are being used or quoted.

5. Email the instructor if you have questions regarding the assignments.