HCA123 Healthcare Reimbursement & Revenue Management
This course provides an overview of reimbursement methods and the various third-party payers in health care. The language of health care reimbursement will be explored and elements of healthcare reform will be covered. Clinical coding and compliance will be discussed along with the coding issues that affect compliance, with an emphasis on ethics in coding. Revenue cycle basics will be addressed along with claims management. The healthcare revenue cycle process that facilitates and manages the administrative and clinical functions associated with claims processing, payment, and revenue generation will be outlined in this course. This process encompasses the identification, management, and collection of patient service revenue.