Course Project for Health Insurance and Reimbursement Class

IntroductionAs a future CCA, CCS or RHIT professional you must be able to provide education to providers and other professionals. This type of presentation may occur in the form of a face to face presentation or a presentation that is recorded and deployed to others.InstructionsFor this course, you will assume the role of the Revenue Cycle expert who is charged with preparing and presenting a 60 minute session on the Revenue Cycle to new employees. Your goal is to ensure that these new employees understand the revenue cycle process and the role that they may play within your organization.Presentation Outline/ContentsYour presentation is a 60 minute session and must be presented in the following order:Title SlideIntroduction (Presenter)Graphical Representation of the Revenue CycleInsurance Terminology (10 terms)Patient Access/Registration ProcessInsurance Verification ProcessCoordination of BenefitsPre-approval ProcessPayers-Managed Care (HMO, PPO, POS, EPO)Payers-Government (Medicare, Medicaid, Tricare)Prospective Payment Systems (Focus on MS-DRG, APC and RBRVS)Coding ProcessChargemasterCoding ComplianceClaims Edits (NCCI, MCE, OCE)Claims Submission Process (CMS-1500 vs UB-04)Notification of Payment (EOB vs RA/ERA)Denial ManagementDischarged Not Final Billed ReportsMedicare Appeals ProcessConclusionReferencesAttached is a Power Point Template to help you get started.SubmissionYou will need to submit two items for grading.Your recorded video (embedded in the text editor)Your power point presentation (.ppt or .pptx) (submitted as an attachment)

 

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