Advanced Reimbursement Methodology

Catalog description

This course examines the health care revenue cycle with emphasis on optimizing reimbursement through data-driven frameworks and compliance strategies. You will apply charge capture, coding, case mix analysis, and auditing protocols to detect billing errors, fraud, and inappropriate utilization. Through budgeting, payor report development, and appeals management, you will learn to safeguard financial integrity and advocate for Health Information Management resources that minimize organizational risk.