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Reimbursement · LearnSpace
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Reimbursement

Курс от MedCerts
Начальный≈ 10.7 чАнглийский
О курсеНавыкиПрограммаПреподаватели

О курсе

The Reimbursement course provides an in-depth study of the medical reimbursement process, emphasizing the role of insurance specialists in managing the healthcare revenue cycle. In five lessons, students explore every stage of the patient encounter – from the initial intake and documentation of health information to claim submission, follow-up, and collections – developing a comprehensive understanding of how accurate data and communication drive financial success in healthcare organizations. Learning outcomes include the ability to apply key principles of medical billing, coding, and reimbursement; accurately prepare and process healthcare insurance claims; and ensure compliance with privacy laws and industry regulations. The Reimbursement course integrates both administrative and practical aspects of the reimbursement cycle, bridging the gap between patient care and financial management, teaching students how each interaction and data entry impacts timely reimbursement and organizational sustainability.

Навыки, которые вы освоите

Claims ProcessingMedical RecordsRegulatory ComplianceHealth Information ManagementMedical CodingMedical Privacy

Программа курса

5 модулей · 65 учебных материалов

01Module 1 - The Patient Encounter13 материалов
Course IntroductionЧтениеLesson 1 - Industry Insight and QuestionВидеоLesson 1 - Introduction and ObjectivesВидеоLesson 1 - Key TermsPLUGIN

Учитесь у экспертов

Barbara Westrick

Allied Health Instructor

Reimbursement
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Обучение на Coursera

≈ 10.7 ч

5 модулей

Язык: Английский

Субтитры: Дари, Пушту

Часть программы вашего университета
Lesson 1 - The Revenue Cycle and Insurance MathPLUGIN
Lesson 1 - Patient Registration Видео
Lesson 1 - Insurance Coverage and BenefitPLUGIN
Lesson 1 - Establishing Financial ResponsibilityВидео
Lesson 1 - Time-of-Service Payments and Insurance MathPLUGIN
Lesson 1 - Collecting Time-of-Service PaymentPLUGIN
Lesson 1 - ReviewВидео
Lesson 1 - Industry Insight Follow upВидео
Lesson 1 - The Patient EncounterЗадание
02Module 2 - Encounter Charges and Billing12 материалов
Lesson 2 - Industry Insight and QuestionВидеоLesson 2 - Introduction and ObjectivesВидеоLesson 2 - Key TermsPLUGINLesson 2 - Billing ComplianceВидеоLesson 2 - Compliance StrategiesВидеоLesson 2 - Coding and Billing Cycle AuditsВидеоLesson 2 - Fees and ReimbursementВидеоLesson 2 - Payment Methods and Insurance MathPLUGINLesson 2 - Insurance Claim FraudPLUGINLesson 2 - ReviewВидеоLesson 2 - Industry Insight Follow upВидеоLesson 2 - Encounter Charges and BillingЗадание
03Module 3 - The Healthcare Insurance Claim13 материалов
Lesson 3 - Industry Insight and QuestionВидеоLesson 3 - Introduction and ObjectivesВидеоLesson 3 - Key TermsPLUGINLesson 3 - CMS-1500 Claim CompletionВидеоLesson 3 - Preparing a Correct ClaimPLUGINLesson 3 - Complete a CMS-1500 ClaimPLUGINLesson 3 - HIPAA 837P Claim SubmissionВидеоLesson 3 - Claim TransmissionВидеоLesson 3 - Hospital Coding and ClaimsВидеоLesson 3 - Capturing Insurance InformationPLUGINLesson 3 - ReviewВидеоLesson 3 - Industry Insight Follow upВидеоLesson 3 - The Healthcare Insurance ClaimЗадание
04Module 4 - Health Insurance Claim Follow-up13 материалов
Lesson 4 - Industry Insight and QuestionВидеоLesson 4 - Introduction and ObjectivesВидеоLesson 4 - Key TermsPLUGINLesson 4 - Claim AdjudicationВидеоLesson 4 - Claim StatusВидеоLesson 4 - The Remittance AdvicePLUGINLesson 4 - Denials and AppealsPLUGINLesson 4 - Posting and Applying PaymentsВидеоLesson 4 - Secondary PayersВидеоLesson 4 - Claim StatusPLUGINLesson 4 - ReviewВидеоLesson 4 - Industry Insight Follow upВидеоLesson 4 - Health Insurance Claim Follow-upЗадание
05Module 5 - Billing and Collections/Project14 материалов

Lesson 5 - Billing and Collections

Lesson 5 - Industry Insight and QuestionВидеоLesson 5 - Introduction and ObjectivesВидеоLesson 5 - Key TermsPLUGINLesson 5 - Patient Financial ResponsibilityВидеоLesson 5 - CollectionsВидеоLesson 5 - Collections cont.ВидеоLesson 5 - Account Write-offs and Bad Debt MathPLUGINLesson 5 - Other Collection ConsiderationsPLUGINLesson 5 - Account Billing and CollectionPLUGINLesson 5 - ReviewВидеоLesson 5 - Industry Insight Follow upВидеоLesson 5 - Billing and CollectionsЗадание

Project - Electronic Health Record/Reimbursement Fundamentals

Project InstructionsЧтениеDocument the Lifecycle of a Patient Encounter and Develop a Training Plan for a New EmployeeВзаимная проверка