Distinguish major payment methods in the US.
Discuss the coding compliance issues that influence reimbursement.
Differentiate major types of healthcare insurance plans.
Define basic language associated with reimbursement by commercial healthcare insurance plans and by Blue Cross and Blue Shield plans.
Differentiate among and identify the various government-sponsored healthcare programs.
Discuss the history of the Medicare and Medicaid programs in America.
Describe and trace the origins and evolution of the different types of managed care plans.
Manage the use of clinical data required by various payment and reimbursement systems.
Define and discuss the components of the revenue cycle management.
Describe the origins and evolution of value-based purchasing and pay for performance models.