HM 170 Healthcare Revenue Cycle 1

Lecture Hours: 3
Lab Hours: 9
Credits: 6

Offers the skills needed to understand the revenue cycle timeline, understand billing laws, solve insurance billing problems, and how to manually and electronically file claims in an intensive billing course.

Prerequisite: Completion of HM 113 with a grade of C or better; or consent of instructor.
Student Learning Outcomes:

Explain the 10 steps in the revenue cycle.
Compare the intent of HIPAA HITECH and ACA laws
Assess the benefits of a compliance plan
Summarize the use of encounter forms
Evaluate the importance of certification for career advancement.
Understand a basic overview of diagnostic and procedural coding
Compare the 3 major methods of electronic claims

Content Outline

Introduction to Revenue Cycle
- EHR, HIPAA AND HITECH
- Patient Encounters and Billing Information
Claim Coding Introduction
- Diagnostic Coding
- Procedural Coding
- Visit Charges and Compliant Billing
Claims
- Healthcare Claims Preparation and Transmission
- Claims for specific Health Plans including government plans