Certificate in Healthcare Payment Optimization Strategies
-- ViewingNowThe Certificate in Healthcare Payment Optimization Strategies course is a comprehensive program designed to meet the growing industry demand for experts who can optimize healthcare reimbursements. This course focuses on essential skills such as revenue cycle management, charge capture, payer contracting, and data analysis.
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⢠Healthcare Payment Overview: Understanding the healthcare payment process, including billing, coding, and reimbursement.
⢠Revenue Cycle Management: Maximizing revenue through effective management of the revenue cycle.
⢠Claims Management: Strategies for optimizing claims processing and reducing claim denials.
⢠Coding and Classification Systems: Utilizing ICD-10 and other coding systems to ensure accurate payment.
⢠Billing and Reimbursement Policies: Understanding government and private payer policies for billing and reimbursement.
⢠Appeals and Audits: Strategies for appealing denied claims and preparing for audits.
⢠Data Analysis and Reporting: Using data to identify trends and opportunities for improvement in the payment optimization process.
⢠Compliance and Regulations: Ensuring compliance with relevant laws and regulations, including HIPAA and the Affordable Care Act.
⢠Payment Innovations: Exploring new payment models, such as value-based care and bundled payments.
⢠Change Management: Implementing and managing change within the organization to support payment optimization efforts.
Note: These units are suggestions and the final course outline should be determined by the course creator, in accordance with the specific needs and goals of the target audience.
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