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.
This module introduces students to the stages of the patient encounter, including intake, documentation of health information, claim submission, follow-up, and collections.
This module instructs students in applying the key principles of medical billing, coding, and reimbursement while also ensuring compliance with privacy laws and industry regulations.
涵盖的内容
8个视频1个作业3个插件
显示有关单元内容的信息
8个视频•总计24分钟
Lesson 2 - Industry Insight and Question•2分钟
Lesson 2 - Introduction and Objectives•2分钟
Lesson 2 - Billing Compliance•5分钟
Lesson 2 - Compliance Strategies•5分钟
Lesson 2 - Coding and Billing Cycle Audits•3分钟
Lesson 2 - Fees and Reimbursement•5分钟
Lesson 2 - Review•1分钟
Lesson 2 - Industry Insight Follow up•2分钟
1个作业•总计30分钟
Lesson 2 - Encounter Charges and Billing•30分钟
3个插件•总计45分钟
Lesson 2 - Key Terms•15分钟
Lesson 2 - Payment Methods and Insurance Math•15分钟
Lesson 2 - Insurance Claim Fraud•15分钟
Module 3 - The Healthcare Insurance Claim
第 3 单元•小时 后完成
单元详情
This module explores how to accurately prepare and process healthcare insurance claims.
涵盖的内容
8个视频1个作业4个插件
显示有关单元内容的信息
8个视频•总计23分钟
Lesson 3 - Industry Insight and Question•2分钟
Lesson 3 - Introduction and Objectives•3分钟
Lesson 3 - CMS-1500 Claim Completion•4分钟
Lesson 3 - HIPAA 837P Claim Submission•4分钟
Lesson 3 - Claim Transmission•3分钟
Lesson 3 - Hospital Coding and Claims•3分钟
Lesson 3 - Review•1分钟
Lesson 3 - Industry Insight Follow up•3分钟
1个作业•总计30分钟
Lesson 3 - The Healthcare Insurance Claim•30分钟
4个插件•总计60分钟
Lesson 3 - Key Terms•15分钟
Lesson 3 - Preparing a Correct Claim•15分钟
Lesson 3 - Complete a CMS-1500 Claim•15分钟
Lesson 3 - Capturing Insurance Information•15分钟
Module 4 - Health Insurance Claim Follow-up
第 4 单元•小时 后完成
单元详情
This module describes the claim submission and follow-up stages of the patient encounter.
涵盖的内容
8个视频1个作业4个插件
显示有关单元内容的信息
8个视频•总计22分钟
Lesson 4 - Industry Insight and Question•1分钟
Lesson 4 - Introduction and Objectives•2分钟
Lesson 4 - Claim Adjudication•4分钟
Lesson 4 - Claim Status•3分钟
Lesson 4 - Posting and Applying Payments•5分钟
Lesson 4 - Secondary Payers•4分钟
Lesson 4 - Review•1分钟
Lesson 4 - Industry Insight Follow up•3分钟
1个作业•总计30分钟
Lesson 4 - Health Insurance Claim Follow-up•30分钟
4个插件•总计60分钟
Lesson 4 - Key Terms•15分钟
Lesson 4 - The Remittance Advice•15分钟
Lesson 4 - Denials and Appeals•15分钟
Lesson 4 - Claim Status•15分钟
Module 5 - Billing and Collections/Project
第 5 单元•小时 后完成
单元详情
This module describes the collection stage of the patient encounter.
涵盖的内容
7个视频1篇阅读材料1个作业1次同伴评审4个插件
显示有关单元内容的信息
7个视频•总计20分钟
Lesson 5 - Industry Insight and Question•2分钟
Lesson 5 - Introduction and Objectives•2分钟
Lesson 5 - Patient Financial Responsibility•5分钟
Lesson 5 - Collections•6分钟
Lesson 5 - Collections cont.•3分钟
Lesson 5 - Review•1分钟
Lesson 5 - Industry Insight Follow up•1分钟
1篇阅读材料•总计10分钟
Project Instructions•10分钟
1个作业•总计30分钟
Lesson 5 - Billing and Collections•30分钟
1次同伴评审•总计60分钟
Document the Lifecycle of a Patient Encounter and Develop a Training Plan for a New Employee•60分钟
4个插件•总计60分钟
Lesson 5 - Key Terms•15分钟
Lesson 5 - Account Write-offs and Bad Debt Math•15分钟
Since 2009, MedCerts has been helping individuals start new careers in the high-demand industries of healthcare and information technology through online certification training. These short-term, low-cost programs provide a flexible learning solution for busy adults seeking better careers, faster. As a Coursera student, you can get up to 20% OFF a full MedCerts program! Click our link to learn more and enroll today.
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