This course provides students with an overview of US healthcare reimbursement systems, the roles and responsibilities of healthcare third-party payers, and the billing process, including concepts of revenue cycle management. Advanced coding concepts such as the use of codes in reimbursement systems, ethical and compliant coding, and additional vocabularies, terminologies, and classification systems will also be discussed. Utilization of coding tools such as groupers and computer-assisted coding will be included. Practice Management Systems will also be used.
Required Text/Materials
Valerius, J. D., Bayes, N. L., Newby, C. & Blochowiak, A. L. (2020). Medical Insurance: A Revenue Cycle Process Approach, (8th ed.). McGraw-Hill publishing with Connect.
Prerequisites
None.