Description
This course provides an overview of healthcare finance and reimbursement practices and methods. Students will learn
payment systems, basic coding, revenue cycle management and what fraud and abuse are along with the negative
impact on an organization. Understanding the ways in which insurance companies pay claims will provide a basis to
manage contracts and reimbursement levels. Different types of insurance will be studied that includes managed care,
HMOs, Medicaid and Medicare. The shift from a process-oriented focus to a revenue cycle management focus has
driven the need to effectively manage revenue streams in order to survive in today’s healthcare world.
Credits: 3.0