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

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HIM 254-Advanced Coding and Reimbursement

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