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Course

Reimbursement Methodologies & Compliance

MEDC-40021

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 Information

Online
2.00 units
$355.00

Course sessions

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Section ID:

185971

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.

Textbooks:

Principles of Healthcare Reimbursement 8th
by Anne Casto, Susan White

ISBN / ASIN: 9781584269168

You may purchase textbooks via the UC San Diego Bookstore.

Policies:

  • No refunds after: 1/9/2025

Schedule:

No information available at this time.
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Instructor: Jessica Ciccone

Jessica Ciccone

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. Ciccone established Health-Med Reimbursement Systems, a successful medical coding, billing and education consulting company focused on the needs of the small practice. In 2013, after completing her HIM degree, she joined Peak Health Solutions as the company’s education and training manager. In her role with Peak, she oversaw Peak’s internal coding staff education initiatives, including the ICD-10 transition preparedness program for approximately 350 inpatient, outpatient and pro-fee coders and auditors.

In 2017, Ms. Ciccone became the director of onboarding and employee engagement at ComplexCare Solutions and has been an Extension instructor since early 2017.

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