Title: Syllabus
Course: HIM 3610 - TAACCCT Grant

Advanced Principles in Revenue Cycle Management

Course Description

Elements of the revenue cycle are reviewed.  Principles of revenue cycle management are examined including:  scope and management of clinical coded data, process improvement and data quality, compliance, internal and external auditing, reporting, case-mix management, claims management, CDM maintenance, risk adjustment, and changes in revenue cycle management.

Professor

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Text

Davis, N. & Doyle, B. (2016) Revenue Cycle Management Best Practices, 2nd Edition.  Chicago:  IL:  AHIMA.  ISBN:  978-1-58426-526-9.

Course Objectives

Upon completion of this course, the student will be able to:

- Define and understand the components of the revenue cycle
- Explain healthcare reimbursement methodology
- Identify key components that effect the revenue cycle
- Understand the complexities of the coding function and how it relates to the revenue cycle, audits, reporting, and other key factors
- Develop knowledge and skills in recruitment, staffing, and coding function management
- Describe the steps in performance and process improvement
- Understand the importance of data quality
- Define and explain the significance of compliance with state and federal laws and regulations in regards to health information functions
- Understand the auditing process and have experience responding to audits
- Know how to access reporting regulations and understand the role that coded data has in reporting
- Understand the uses of coded data and the significance of the data
- Define value-based purchasing and describe its importance in reimbursement methodology
- Understand case-mix methodology
- Gain awareness regarding changing landscape of revenue cycle management
- Understand risk adjustment

Grading

Please see the assignment and examination pages for due dates.  Grades will be determined on a total point basis.

QUIZZES | 245 points
ASSIGNMENTS | 300 points
FINAL PAPER | 100 points
Total | 645 points

Grading Scale

Percentage |  | Grade
94-100% | = | A
90-93% | = | A-
87-89% | = | B+
83-86% | = | B
80-82% | = | B-
77-79% | = | C+
73-76% | = | C
70-72% | = | C-
67-69% | = | D+
63-66% | = | D
60-62% | = | D-
Below 60% | = | E

Cheating/Coercion:

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Student Accommodations

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