HIT 215 - Revenue Cycle Management

Class Hours: 1 Lab Hours: 3 Clinic/WkExp Hours: 0 Credit Hours: 2

Prerequisite: None
Corequisite: None
Local Prerequisite: Acceptance in HIT program or permission from instructor
Local Corequisite: HIT 214

Additional Fees: $11.25 Lab

This course covers the revenue cycle management process used in all healthcare settings as they relate to national billing, compliance, and reporting requirements. Topics include clinical documentation improvement, prospective payment systems, billing processes and procedures, chargemaster maintenance, regulatory guidelines, fraud and abuse, reimbursement monitoring, compliance strategies and reporting. Upon completion, students should be able to perform data quality reviews to validate code assignment and comply with reimbursement and reporting requirements.