HIT 215 - Revenue Cycle Management
2 Lecture Hours 3 Lab Hours
Prerequisites: HIT 102 , HIT 210
The course presents an introduction to revenue cycle management, including reimbursement methodologies for inpatient, ambulatory and professional settings. Students learn diagnosis-related group (DRG) calculation, Ambulatory Payment Classifications (APCs), relative value units (RVUs) and fee schedules, health insurance claims, terminology, reimbursement methodologies, completion of billing forms and compliance with regulatory requirements. The students complete the Certified Revenue Cycle Representative (CRCR) the final four weeks of class.
Upon completion of this course, the student will:
- Evaluate the revenue cycle process.
- Generate insurance payment calculations and claims.
- Assess compliance with regulatory requirements.
- Apply revenue cycle technology.
- Payment methodologies
- Revenue cycle detail
- Regulatory requirements, overview of legal aspects
- Chargemaster maintenance, payer negotiation, denials management
- Contracting and credentialing
- Key Performance Indicators (KPIs) and benchmarking
- Clearinghouse integration and electronic health record (EHR) use
Software packages and appropriate texts
Students who successfully complete this course acquire general knowledge, skills and abilities that align with CCAC’s definition of an educated person. Specifically, this course fulfills these General Education Goals:
Approved By: Dr. Quintin B. Bullock Date Approved: 2/13/2021
- Information Literacy
- Technological Competence
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