MGMT-220 Patient Case Management

Credits 3 / 3 Contact Hours
Prerequisite: Placement into RDNG-030 (ACSR-030) or successful completion of RDNG-016 or ACLT-074 with a minimum grade of 3.0. Corequisite: MGMT-210  
This course teaches the procedures for monitoring the documentation of patient care for maximum reimbursement. Topics cover evaluation and classification diagnostic clinical laboratory and procedural service. Assignments present problem-solution situations requiring critical thought and attention to service code guidelines.

Course Outcomes
1. Interpret treatment protocols 2. Analyze a medical record 3. Verify coding assignment 4. Discern conflicting information 5. Extract care data from paper, computer and online 6. Apply coding guidelines and HCFA regulations 7. Submit claims 8. Track reimbursement and capitation payments 9. Conduct account audits 10. Summarize legal issues related to patient information.