HIT 194 - Healthcare Revenue Cycle II

Credit Hours: 3
The student will learn to recognize the impact of the appeals process and discharged not final billed accounts on facility reimbursement. The student will learn the impact of duplicate patient numbers on duplicate charges as generated for multiple accounts. The student will learn about fraud and abuse detection when it comes to reimbursement and control of financial resources. The student will learn about back-end reporting for monitoring key performance indicators by reviewing the carve-out report, the later-charge report, the credit balance report, etc. The student will learn about the preventative controls, detective controls, and corrective controls for revenue cycle management. These are common functions of a medical biller in any medical setting and serve as vital facets of reimbursement that every medical biller should be taught.

Prerequisite(s): Grade of C or better in HIT 192.
Lecture Hours: 3 Lab Hours: 0

Semesters Offered: Demand