HIM 285 : Revenue Cycle Management

Transcript title

Revenue Cycle Management

Credits

3

Grade mode

Standard letter grades

Contact hours total

50

Lecture hours

10

Other hours

40

Prerequisites

Instructor approval required based on completion of first-year HIM curriculum.

Description

Provides an in-depth study of revenue cycle management from a multi-disciplinary approach. Includes the components of the revenue cycle across health care settings and from the facility/provider prospective versus the patient perspective. Applies knowledge, skills, and abilities accumulated in prior terms related to classification and reimbursement systems.

Learning outcomes

1. Compare and contrast components of the revenue cycle.
2. Evaluate chargemaster structure, maintenance, and compliance.
3. Evaluate fee schedule structure, maintenance, and compliance.
4. Analyze and audit claims processing, remittance, collection activities.
5. Classify and examine revenue cycle key performance indicators.
6. Evaluate coding management practices.
7. Justify Clinical Documentation Improvement programs.
8. Develop revenue cycle compliance policy and procedure.
9. Perform revenue cycle analysis.

Content outline

1. Components of the revenue cycle
2. Chargemaster structure, maintenance, and compliance
3. Fee schedule structure, maintenance, and compliance
4. Claims processing, remittance, collection activities
5. Revenue cycle key performance indicators
6. Coding management practices
7. Clinical Documentation Improvement programs
8. Revenue cycle compliance policy and procedure
9. Revenue cycle analysis

Required materials

Required textbook. Computer and reliable internet access. Portable storage device (ie. usb drive).

Grading methods

This class requires a passing grade of 75% or better.

Outside of
expected

Use the COCC Catalog to find extraordinary classes and degree programs. Start your journey here »