Healthcare Reimbursement Methodologies

Catalog description

This course provides students with a foundation of the basics of health insurance and public funding programs, managed care contracting, and payment for services. The content focuses on health insurance plans, government-sponsored healthcare programs, managed care plans, fee schedules, resource-based relative value system for physician payment and prospective payment for various inpatient settings. Students will examine various reimbursement methodologies, and the interconnection between clinical coding, compliance, and reimbursement. Within this, revenue life cycle management will be studied and its impact on provider financial stability.