-Time of Service/Middle Revenue Cycle -Claims Processing and Follow-up
This course will cover the time of service and the components of the middle revenue cycle, which is the heart of clinical care and charge capture. Students will understand patient check- in/registration including patient’s rights & responsibilities, financial counseling, and conditions of treatment and admissions. Students will gain the ability to analyze and report on case management/utilization review, charge capture, healthcare information management, medical coding, clinical documentation improvement and claims edits. Lastly, students will be skilled in claims processing and follow-up to include billing rules and payment methodologies, health plan contracts, specialty billings, and how to file appeals and the different types of denials.
Course Fee: $545
Course Number: MEDC-40029
Credit: 3.00 unit(s)
Related Certificate Programs: Healthcare Revenue Cycle