Lorsque vous vous inscrivez à ce cours, vous êtes également inscrit(e) à cette Spécialisation.
Apprenez de nouveaux concepts auprès d'experts du secteur
Acquérez une compréhension de base d'un sujet ou d'un outil
Développez des compétences professionnelles avec des projets pratiques
Obtenez un certificat professionnel partageable
Il y a 5 modules dans ce cours
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.
This module introduces students to the stages of the patient encounter, including intake, documentation of health information, claim submission, follow-up, and collections.
Inclus
6 vidéos1 lecture1 devoir5 plugins
Afficher les informations sur le contenu du module
6 vidéos•Total 20 minutes
Lesson 1 - Industry Insight and Question•2 minutes
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.
Inclus
8 vidéos1 devoir3 plugins
Afficher les informations sur le contenu du module
8 vidéos•Total 24 minutes
Lesson 2 - Industry Insight and Question•2 minutes
Lesson 2 - Introduction and Objectives•2 minutes
Lesson 2 - Billing Compliance•5 minutes
Lesson 2 - Compliance Strategies•5 minutes
Lesson 2 - Coding and Billing Cycle Audits•3 minutes
Lesson 2 - Fees and Reimbursement•5 minutes
Lesson 2 - Review•1 minute
Lesson 2 - Industry Insight Follow up•2 minutes
1 devoir•Total 30 minutes
Lesson 2 - Encounter Charges and Billing•30 minutes
3 plugins•Total 45 minutes
Lesson 2 - Key Terms•15 minutes
Lesson 2 - Payment Methods and Insurance Math•15 minutes
Lesson 2 - Insurance Claim Fraud•15 minutes
Module 3 - The Healthcare Insurance Claim
Module 3•2 heures à terminer
Détails du module
This module explores how to accurately prepare and process healthcare insurance claims.
Inclus
8 vidéos1 devoir4 plugins
Afficher les informations sur le contenu du module
8 vidéos•Total 23 minutes
Lesson 3 - Industry Insight and Question•2 minutes
Lesson 3 - Introduction and Objectives•3 minutes
Lesson 3 - CMS-1500 Claim Completion•4 minutes
Lesson 3 - HIPAA 837P Claim Submission•4 minutes
Lesson 3 - Claim Transmission•3 minutes
Lesson 3 - Hospital Coding and Claims•3 minutes
Lesson 3 - Review•1 minute
Lesson 3 - Industry Insight Follow up•3 minutes
1 devoir•Total 30 minutes
Lesson 3 - The Healthcare Insurance Claim•30 minutes
Document the Lifecycle of a Patient Encounter and Develop a Training Plan for a New Employee•60 minutes
4 plugins•Total 60 minutes
Lesson 5 - Key Terms•15 minutes
Lesson 5 - Account Write-offs and Bad Debt Math•15 minutes
Lesson 5 - Other Collection Considerations•15 minutes
Lesson 5 - Account Billing and Collection•15 minutes
Obtenez un certificat professionnel
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Since 2009, MedCerts has been helping individuals start new careers in the high-demand industries of healthcare and information technology through online certification training. These short-term, low-cost programs provide a flexible learning solution for busy adults seeking better careers, faster. As a Coursera student, you can get up to 20% OFF a full MedCerts program! Click our link to learn more and enroll today.
Pour quelles raisons les étudiants sur Coursera nous choisissent-ils pour leur carrière ?
Felipe M.
Étudiant(e) depuis 2018
’Pouvoir suivre des cours à mon rythme à été une expérience extraordinaire. Je peux apprendre chaque fois que mon emploi du temps me le permet et en fonction de mon humeur.’
Jennifer J.
Étudiant(e) depuis 2020
’J'ai directement appliqué les concepts et les compétences que j'ai appris de mes cours à un nouveau projet passionnant au travail.’
Larry W.
Étudiant(e) depuis 2021
’Lorsque j'ai besoin de cours sur des sujets que mon université ne propose pas, Coursera est l'un des meilleurs endroits où se rendre.’
Chaitanya A.
’Apprendre, ce n'est pas seulement s'améliorer dans son travail : c'est bien plus que cela. Coursera me permet d'apprendre sans limites.’
Does completing this course prepare me for a certification exam?
No. This course is considered an introduction to MedCerts career and certification training. It does not fully prepare students to test for national certification. To prepare for a national certification, students have the option to enroll in a more comprehensive program at MedCerts, where certification and job-readiness is the intent.
When will I have access to the lectures and assignments?
To access the course materials, assignments and to earn a Certificate, you will need to purchase the Certificate experience when you enroll in a course. You can try a Free Trial instead, or apply for Financial Aid. The course may offer 'Full Course, No Certificate' instead. This option lets you see all course materials, submit required assessments, and get a final grade. This also means that you will not be able to purchase a Certificate experience.
What will I get if I subscribe to this Specialization?
When you enroll in the course, you get access to all of the courses in the Specialization, and you earn a certificate when you complete the work. Your electronic Certificate will be added to your Accomplishments page - from there, you can print your Certificate or add it to your LinkedIn profile.
Is financial aid available?
Yes. In select learning programs, you can apply for financial aid or a scholarship if you can’t afford the enrollment fee. If fin aid or scholarship is available for your learning program selection, you’ll find a link to apply on the description page.