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HIM 254-Advanced Coding and Reimbursement

This class was created by Brainscape user Sarah DeMarr. Visit their profile to learn more about the creator.

By: Sarah DeMarr
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Decks in this class (13)

Ch. 1-Healthcare Reimbursement and Revenue Cycle Management
Social insurance healthcare model,
National health service healthcar...,
Private health insurance healthca...
21  cards
Ch. 2-Health insurance
Adverse selection,
Appeal,
Benefit
61  cards
Ch. 3-Government-Sponsored Healthcare Programs
Children s health insurance progr...,
Chronic conditions special needs ...,
Civilian health and medical progr...
20  cards
Ch. 4-Healthcare Reimbursement Methodologies
Accountable care organization aco,
Allowable charge,
Attribution
19  cards
Ch. 5-Medicare Hospital Acute Inpatient Payment System
Arithmetic mean length of stay amlos,
Babe payment rate,
Case mix
42  cards
Ch. 6-Medicare Skilled Nursing Facility Services Payment System
Case mix group cmg,
Patient driven payment model pdpm,
Skilled nursing facility snf
5  cards
Ch. 7-Medicare Hospital Outpatient Payment System
Ambulatory payment classification...,
Bundling,
Conversion factor cf
10  cards
Ch. 8-Medicare Physican and Other Health Professional Payment System
Alternative payment model apm,
Assignment of benefits,
Geographic practice cost index
14  cards
Ch. 9-Revenue Cycle Front-End Processes--Patient Engagement
Advance beneficiary notification ...,
Patient financial responsibility ...,
Patient portal
5  cards
Ch. 10-Revenue Cycle Middle Processes--Resource Tracking
Aha coding clinic for hcpcs,
Aha coding clinic for icd 10 cm a...,
Category i cpt codes
31  cards
Ch. 11-Revenue Cycle Back-End Processes--Claims Production And Revenue Collection
Accounts receivable ar,
Accrual accounting,
Adjudication
11  cards
Ch. 12-Coding and Clinical Documentation Integrity Management
Benchmarking,
Cc mcc capture rate,
Clean claim rate
14  cards
Ch. 13-Revenue Compliance
Abuse,
Administrative denial,
Audit
26  cards

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HIM 254-Advanced Coding and Reimbursement

  • Class purpose General learning

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