Feb 03, 2023  
2021-2022 Catalog 
    
2021-2022 Catalog [ARCHIVED CATALOG]

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HIT 215 - Revenue Cycle Management


Credits: 3
2 Lecture Hours 3 Lab Hours

Prerequisites: HIT 102 , HIT 210  

 
Description
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. 


Learning Outcomes
Upon completion of this course, the student will:

  1. Evaluate the revenue cycle process.
  2. Generate insurance payment calculations and claims.
  3. Assess compliance with regulatory requirements.
  4. Apply revenue cycle technology.
Listed Topics
  1. Payment methodologies
  2. Revenue cycle detail
  3. Regulatory requirements, overview of legal aspects
  4. Chargemaster maintenance, payer negotiation, denials management 
  5. Contracting and credentialing
  6. Key Performance Indicators (KPIs) and benchmarking
  7. Clearinghouse integration and electronic health record (EHR) use
Reference Materials
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:
  • Information Literacy
  • Technological Competence
Approved By: Dr. Quintin B. Bullock Date Approved: 2/13/2021


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