Healthcare Revenue Cycle 1
MEDC-40028
-Introduction to Healthcare and the Revenue Cycle -Pre-Service Revenue Cycle Functions
Revenue Cycle 1 (3.0 Units)
This course will provide a brief introduction to the U.S. Healthcare System and how the components of the revenue cycle function across the revenue collection spectrum including hospital and ambulatory clinics. This course covers the basic healthcare finance, payers of healthcare, legal implications, key regulations, ethics, and key performance indicators. Students will learn the pre-service revenue cycle functions and will be able to identify key demographics required for accurate registration, calculate out- of-pocket cost for patients using medical coverage and clinical services scheduled/performed. Students will also be able to skillfully communicate coverage and payment obligations with patients, identify payer requirements for referral and authorizations for reimbursements and verify patient benefits and eligibility using electronic tools and payer websites.
Course Fee: $545
Course Information
Course sessions
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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.
Textbooks:
Understanding Health Insurance: A Guide to Billing and Reimbursement 18th
by Michelle Green
ISBN / ASIN: 9780357764060
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.
Policies:
- No refunds after: 10/2/2024
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Schedule:
Instructor: Terri Meier
As of January 2023, Terri is the Assistant Vice Chancellor Revenue Cycle for University of Arkansas for Medical Sciences where she is responsible for overseeing and directing the overall function of the UAMS revenue cycle, including the integration, strategic planning, and operational performance. Formerly, Terri was the System Director of Patient Revenue Cycle for UC San Diego Health where she was responsible for the implementation, strategic direction, and ongoing optimization of the Shared Business Office. SBO consists of a 50-person internal staff and multiple vendor partnerships. Included in those responsibilities were customer service, self-pay follow-up and financial assistance.
Terri has also served as the Director Revenue Cycle for Stanford Healthcare and Oregon Health and Science University were she was responsible for the strategic direction and daily operation of Patient Financial Services for both hospital and professional billing. Scope of services includes, billing, collection, denial management, cash posting, charge master, coding customer service and revenue integrity.
Terri earned her Certificate in Health Care Management, Oregon Graduate Institute (OGI). Terri is a Certified Healthcare Financial Management Professional (CHFP), a Certified Revenue Cycle Specialist (CRCR), a Certified Specialist Managed Care (CSMC), and a Certified Specialist Business Intelligence (CSBI) through the Healthcare Financial Management Association (HFMA).