Revenue Cycle Management and Reimbursement Methodologies

Catalog description

This course is designed for students to learn the general principles of revenue cycle management and reimbursement methodologies. Students will learn how to complete and use insurance claim forms and insurance related forms (referrals, pre-authorizations, registration forms). The class will provide students with hands-on experiences with a variety of insurance related issues as well as compliance strategies and reporting. Reimbursement systems including fee-for-service payments and capitation payments will be covered in detail as well as regulatory guidelines, management of denials of claims and chargemaster maintenance.