Integrates a foundational knowledge base of revenue cycle information (provider contracting, insurance reimbursement, & healthcare taxonomy) to meet the educational needs of the Information Technology Management Professional seeking additional education experience in structuring healthcare information. This course will study healthcare events from an economic viewpoint (c.f., clinical perspective). This includes the study of information & process models, glossaries/dictionaries, business rules, requirement specifications, and other artifacts that capture and structure healthcare data. Standardized and proprietary revenue models will be examined in this course, especially their integration into systems of automation & interoperability (i.e., HL7 and HIPAA transactions). The entire end to end revenue process will be examined, from encoding clinical events to decoding this same data for economic transactions.
Units: 3 , Offered: Fall 2015