This course was developed to provide students with an in-depth understanding of the structure and function of the US Healthcare Reimbursement system, including the various types of payors, payment methodologies and compliance strategies. By the end of this course, students will be able to 1) define commercial, federal and managed care insurance plans, and describe the differences between the three types of payors, 2) describe payment methodologies associated with each type of payor, 3) describe each step in the insurance billing process, from claims submission to payment determination, 4) define the legislation created to regulate claims compliance and the agencies responsible that ensuring that these laws are followed.
Course Number: MEDC-40021
Credit: 2.00 unit(s)
Related Certificate Programs: Medical Coding
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1/2/2025 - 3/22/2025
$355
Online
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CLASS TYPE:
Online Asynchronous.
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.
Ciccone, Jessica, Seasoned HIM professional and RHIA with more than 10 years of experience in the healthcare industry.
Ms. Jessica Ciccone is a seasoned health information management (HIM) professional with more than 10 years of experience in the healthcare industry. She began her career as an accounts specialist for Scripps Healthcare before moving into provider credentialing, healthcare human resources management and revenue cycle management with Vericare in 2005.
During her time with Vericare, Ms. Ciccone led the company’s NPI structure development, and was actively involved in the development of Vericare’s personnel management workflow. Ms. Ciccone went on to obtain her master’s degree in business administration and later obtained a master’s level certification in health information management from the University of Illinois, Chicago.
In 2012, Ms. Cicc...Read More
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TEXTBOOKS:
REQUIREDPrinciples of Healthcare Reimbursement 8th
by Anne Casto, Susan White
ISBN / ASIN: 9781584269168
You may purchase textbooks via the UC San Diego Bookstore.
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POLICIES:
No refunds after: 1/9/2025.
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1/2/2025 - 3/22/2025
extensioncanvas.ucsd.edu
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.
Please contact the Healthcare & Behavioral Sciences department at 858-534-9262 or unexhealthcare@ucsd.edu for information about this course and upcoming sections.