HITM2264 - Revenue Cycle Management

Credits
3 (2/1/0)
Description
This course covers the current revenue cycle systems that are used in the health care industry from initial patient encounter to receipt of payment.
Prerequisites
Competencies
  1. Identify the components of the revenue cycle.
  2. Demonstrate proficiency in completing patient encounter financial documents.
  3. Assess the accuracy of chargemaster and encounter forms.
  4. Validate diagnosis related groups (DRGs) assignment.
  5. Solve claims denials.
  6. Determine the impact of the appeals process and discharged not final billed (DNFB) on facility reimbursement.
  7. Perform revenue cycle audits and reporting.
  8. Manage the revenue cycle audit process.
  9. Define utilization management in health care.
  10. Summarize regulatory requirements and reimbursement methodologies.
Degrees that use this course

Health Information Technology/Coding

Associate of Applied Science (AAS)