Masterclass Certificate in Healthcare Reimbursement: Maximizing Value
-- ViewingNowThe Masterclass Certificate in Healthcare Reimbursement: Maximizing Value course is a comprehensive program that equips learners with critical skills necessary to navigate the complex world of healthcare reimbursement. This course is essential for professionals seeking to maximize value, reduce costs, and improve patient outcomes in the healthcare industry.
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⢠Healthcare Reimbursement Fundamentals: Understanding the basics of healthcare reimbursement, including various payment models, third-party payers, and government programs. ⢠Medical Coding and Classification Systems: Exploring ICD-10-CM, CPT, HCPCS, and other coding systems, and learning how to assign codes accurately to maximize reimbursement. ⢠Billing and Claims Process: Mastering the billing and claims submission process, identifying common errors, and understanding the appeals process for denied claims. ⢠Revenue Cycle Management: Managing the entire revenue cycle, from patient registration to payment posting, optimizing cash flow, and reducing accounts receivable. ⢠Compliance and Regulatory Requirements: Studying regulations such as HIPAA, False Claims Act, Stark Law, and Anti-Kickback Statute to ensure compliance and avoid penalties. ⢠Managed Care Contracting and Negotiations: Developing negotiation skills to optimize managed care contracts, understanding the impact of different contract provisions, and applying strategies for successful negotiations. ⢠Data Analytics and Reporting: Analyzing financial and operational data to identify trends, monitor performance, and make data-driven decisions to maximize reimbursement and minimize revenue leakage. ⢠Patient Financial Responsibility and Engagement: Managing patient financial responsibility, discussing pricing, and addressing affordability concerns, resulting in improved patient satisfaction and cash flow. ⢠Emerging Trends and Future Reimbursement Models: Examining emerging trends in healthcare reimbursement, including value-based care, bundled payments, and telehealth reimbursement, and preparing for future changes in the healthcare landscape.
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