— Reimbursement/Patient Billing

Catalog description

Lecture Hours: 3; Lab Hours: 0 This course teaches general concepts in reimbursement and patient billing. It covers most patient accounting software intended for healthcare providers, and it explores the important aspects of the reimbursement process of third-party payer, Medicare, and Medicaid, from creating efficient patient information forms to claims monitoring and appeals. It emphasizes compliance techniques, managed care competition, precertification, prior authorization, and utilization review. Students learn to increase billing efficiency through appropriate documentation and effective accounts-receivable management operations.