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Healthcare Reimbursement

Reimbursement refers to compensation or repayment for healthcare services. In United States healthcare, services are often provided before payment is made. As a result, physicians, clinics, hospitals, and other healthcare provider organizations request reimbursement for health services provided in addition to expenses incurred. Currently, reimbursement of claims for healthcare services depends on the assignment of medical codes to describe diagnoses, services, and procedures provided. 

Resources regarding healthcare reimbursement:

CMS Reimbursement Methodologies


Information on recovery audit contractors (RAC)


Information on Healthcare Compliance


Reimbursement resources and products


Information on HIPAA transaction standards