Reimbursement

Overview

The Reimbursement course provides an in-depth study of the medical reimbursement process, emphasizing the role of insurance specialists in managing the healthcare revenue cycle. In five lessons, students explore every stage of the patient encounter – from the initial intake and documentation of health information to claim submission, follow-up, and collections – developing a comprehensive understanding of how accurate data and communication drive financial success in healthcare organizations. Learning outcomes include the ability to apply key principles of medical billing, coding, and reimbursement; accurately prepare and process healthcare insurance claims; and ensure compliance with privacy laws and industry regulations. The Reimbursement course integrates both administrative and practical aspects of the reimbursement cycle, bridging the gap between patient care and financial management, teaching students how each interaction and data entry impacts timely reimbursement and organizational sustainability.

Syllabus

Module 1 - The Patient Encounter

This module introduces students to the stages of the patient encounter, including intake, documentation of health information, claim submission, follow-up, and collections.

Module 2 - Encounter Charges and Billing

This module instructs students in applying the key principles of medical billing, coding, and reimbursement while also ensuring compliance with privacy laws and industry regulations.