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Master Certificate in Reimbursement Policy Analysis
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课程详情
- Introduction to Healthcare Reimbursement Systems
- Foundations of Medical Billing and Coding
- Understanding ICD-10-CM and ICD-10-PCS Coding
- Advanced CPT and HCPCS Level II Coding Standards
- Overview of Medicare Part A and Part B
- Medicaid Program Structure and Eligibility
- Commercial Payer Contracts and Negotiations
- Principles of Reimbursement Policy Analysis
- Fee-for-Service vs. Value-Based Payment Models
- Relative Value Scale (RVS) and RVU Calculations
- Prospective Payment Systems (PPS) Overview
- Diagnosis-Related Groups (DRGs) Methodology
- Ambulatory Payment Classifications (APCs)
- Outpatient Prospective Payment System (OPPS)
- Inpatient Prospective Payment System (IPPS)
- Home Health Prospective Payment System (HH PPS)
- Hospital Outpatient Quality Reporting (OQR)
- Compliance and Fraud Prevention Strategies
- Medical Necessity and Documentation Standards
- Claim Adjudication and Denial Management
- Appeals Process and Regulatory Compliance
- Healthcare Data Analytics for Reimbursement
- Electronic Health Records (EHR) Integration
- Telehealth Reimbursement Policies and Trends
- Bundled Payments and Episode-Based Care
- Accountable Care Organizations (ACOs) and Reimbursement
- International Reimbursement Models Comparison
- Financial Impact of Policy Changes on Providers
- Strategic Planning for Revenue Cycle Optimization
- Capstone Project in Reimbursement Policy Analysis
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入学要求
- 对主题的基本理解
- 英语语言能力
- 计算机和互联网访问
- 基本计算机技能
- 完成课程的奉献精神
无需事先的正式资格。课程设计注重可访问性。
课程状态
本课程为职业发展提供实用的知识和技能。它是：
- 未经认可机构认证
- 未经授权机构监管
- 对正式资格的补充
成功完成课程后，您将获得结业证书。
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MASTER CERTIFICATE IN REIMBURSEMENT POLICY ANALYSIS
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学习者姓名
已完成课程的人
London School of International Business (LSIB)
授予日期
05 May 2025
区块链ID： s-1-a-2-m-3-p-4-l-5-e
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