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Main
UQU Programs
Health Informatics

Healthcare Revenue Cycle Management & Reimbursement Systems

HI4604
4 hours English

Healthcare Revenue Cycle Management & Reimbursement Systems

Healthcare Revenue Cycle Management & Reimbursement Systems
2 An update on the Saudi Healthcare System (Current Structure & Transformation)
3 Introduction to Healthcare Finance / - Basic four financial statements
4 Introduction to healthcare reimbursement and Revenue Cycle Management (RCM)
5 Health Insurance
6 Saudi Billing System
8 Reimbursement Methodologies
9 Payment Systems
11 Revenue Cycle Processes: / Patient Engagement / Resource Tracking / Claims Production and Revenue Collection
12 Coding and Clinical Documentation Integrity Analysis
13 Revenue Compliance
14 Revenue Cycle Analysis
1.1 Mapped to: K1, K2

Define concepts and principles of RCM.

Teaching Strategy Interactive academic lectures Individual and group case studies Class and group discussions
Assessment Methods Examination
1.2 Mapped to: K1, K2

Describe reimbursement methodologies, payment systems, revenue cycle processes, and compliance.

Teaching Strategy Interactive academic lectures Individual and group case studies Class and group discussions
Assessment Methods Examination
2.1 Mapped to: S3

Distinguish between reimbursement methodologies, payment systems and revenue cycle processes.

Teaching Strategy Interactive academic lectures Individual and group case studies Class and group discussions
Assessment Methods Examination
2.2 Mapped to: S3

Structure audit process to support compliance and revenue system.

Teaching Strategy Interactive academic lectures Individual and group case studies Class and group discussions
Assessment Methods Examination
2.3 Mapped to: S3

Implement different integrity tasks and functions in RCM.

Teaching Strategy Interactive academic lectures Individual and group case studies Class and group discussions
Assessment Methods Examination
3.1 Mapped to: V1

Take responsibility in complying with standards of ethical conduct in RCM independently.

Teaching Strategy Textbook and research literature readings and group discussions
Assessment Methods Assignments
3.2 Mapped to: V2

Work in a multidisciplinary team to submit tasks on time professionally.

Teaching Strategy Textbook and research literature readings Class and group discussions
Assessment Methods Assignments, Student projects
Assessment
Weight
Quiz
10%
Mid Term Exam
20%
Assignments
10%
Student projects
10%
Final Exam
50%
Total
100%