HLTH 6002 - Revenue Cycle Management and Health Plans

Institution:

Utah Tech University

Subject:

Description:

Revenue Cycle Management and Health Plans is a comprehensive three-credit-hour professional development course tailored for Master of Health Administration (MHA) students. Over 14 weeks, this program offers a deep dive into revenue cycle management, health plans, Medicaid, Medicare, healthcare finance, and accounting. Through an integrated approach, students will gain a profound understanding of how health plans function, how legislative and policy factors impact revenue cycle management, and the critical role of the revenue cycle in influencing cash flow. By exploring the intersections of healthcare economics, policy, and accounting, students will be equipped with essential skills to optimize revenue operations, enhance financial performance, and navigate the complexities of the evolving healthcare landscape. **COURSE LEARNING OUTCOMES (CLOs)** At the successful conclusion of this course students will: 1. Explain the public and private sources of health insurance coverage. 2. Describe the factors third-party payers consider when setting premium and reimbursement rates. 3. Describe the various reimbursement methods utilized by third-party payers. 4. Utilize reimbursement methodologies that impact coding and billing compliance, value-based purchasing initiatives, and revenue cycle management. Prerequisites: Admission to the Master of Healthcare Administration program and students must have passed a financial accounting course (Grade B- or higher). FA

Credits:

3.00

Credit Hours:

Prerequisites:

Corequisites:

Exclusions:

Level:

Instructional Type:

Lecture

Notes:

Additional Information:

Historical Version(s):

Institution Website:

www.utahtech.edu/

Phone Number:

(435) 652-7500

Regional Accreditation:

Northwest Commission on Colleges and Universities

Calendar System:

Semester

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