Dec 04, 2024  
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2024-2025 Undergraduate Catalog
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HHCM 312 - Insurance, UR, and Discharge Planning

3 Credits
This course provides an overview of various public and private insurances, payers and appeal processes that impact case management interventions. The course will include the process of conducting a utilization review addressing issues such as prior authorization, admissions, services provided, and the length of stay. An emphasis will be placed on creating and implementing a discharge plan utilizing specific insurance benefits.
Grade Note(s): A grade of C or better is required to pass this course successfully.
Prerequisite(s): HHCM 300  and HLTH 250 


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