-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
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1/3/2023 - 3/25/2023
This course is entirely web-based and to be completed asynchronously between the published course start and end dates. Synchronous attendance is NOT required.
You will have access to your online course on the published start date OR 1 business day after your enrollment is confirmed if you enroll on or after the published start date.
Laura Handy Dineen, MHA, CRCR, has over thirty years of experience in the healthcare arena with a primary focus on the revenue cycle, 15 years of that experience in academic settings. Her experience spans both the medical delivery and the payer sides of the industry and in addition to revenue cycle has worked in information technology, managed care contracting and finance.
Laura is currently the Executive Director of System Revenue Cycle for UC San Diego Health where she is responsible for revenue cycle operations for the medical centers and the clinical practice organization. Included in those responsibilities are Patient Access, Health Information Management, Coding and Revenue Integrity/Chargemaster, Clinical Research Billing, Accounts Receivable Management for Hospital...Read More
Understanding Health Insurance. A Guide to Billing and Reimbursement 1st
by Michelle Green
ISBN / ASIN: 9780357515587
Revenue Cycle Management Best Practices 2nd
by Nadinia A Davis and Belinda M. Doyle
ISBN / ASIN: 9781584265269
You may purchase textbooks via the UC San Diego Bookstore.
No refunds after: 1/6/2023.
***STUDENTS MAY ENROLL ANYTIME IN QUARTER, until January 10, 2023.***
1/3/2023 - 3/25/2023
You will have access to your course materials on the published start date OR 1 business day after your enrollment is confirmed if you enroll on or after the published start date.
There are no sections of this course currently scheduled. Please contact the Healthcare & Behavioral Sciences department at 858-534-9262 or firstname.lastname@example.org for information about when this course will be offered again.