MAP 285 - The Revenue Cycle

5 Credits
This course will explore the prospective payment systems used by key healthcare organizations. This course examines coding and reimbursement; managed care plans; prospective payment systems; Medicare-Medicaid reimbursement and the resource-based relative value scale (RBRVS); case mix management; and revenue cycle management. It serves as a preparation for employment in the reimbursement system setting, as well as for a position as a professional coder.

Course Outcomes

Outline the process of revenue cycle management.
Apply the basic language associated with reimbursement.
Assess various reimbursement methodologies.
Explain prospective payments and their significance for reimbursement purposes.
Identify the different code sets approved by the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Outline medical necessity in the revenue cycle.