Course Detail: MR4530 - Physician Billing, Reimbursement & Collections

Introduction to physician billing and reimbursement practices. Includes one session devoted entirely to "Managed Care Billing and Reimbursement;" (HMOs, Capitation, Co-pays, Withhold, etc.) Insurance payers such as Medicare, Medicaid and Workers Comp will be discussedincluding federal and state regulations. Learn to apply good collection and follow-up policies and procedures for physician practices. Accounts receivable analysis, methods for optimizing reimbursement and facilitating cash flow will be discussed. Prerequisite(s): Medical Terminology (MR1500) or equivalent knowledge/experience & Anatomy & Physiology (MR1510) or equivalent knowledge/experience. 2.1 CEUsRequired Textbook: Understanding Health Insurance: A Guide to Billing and Reimbursement (with Cengage Demo Printed Access Card), 17th Edition, by Michelle A. Green, ISBN-13: 978-0357621356 , Publisher: Cengage.

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