HIM-1130 - Introduction to Revenue Cycle Management* (3)

Prerequisite: HIM-1103
Students will learn about reimbursement and billing within the healthcare industry. Insurance processing for claims, denials and appeals of claims are addressed as well as the role of coding with respect to reimbursement. Examination of the various health plans and application of the rules and regulations that govern billing and reimbursement are addressed. Students will learn health insurance basics and the various public and private sectors of managed care and how providers and facilities receive reimbursement for services. Students will learn the foundations for the revenue life cycle.

List Course Outcomes (consistent for all sections)
CO1 - Identify the regulations and policies that govern reimbursement for health care claims.

CO2 - Explain the revenue life cycle from physician ordering and patient registration through collections and reimbursement posting.

CO3 - Recognize potential insurance claim denial and appeal issues associated with payer contracts.

Course Fee: $75

View Course Sections