This program aims to give a high-level overview of the US healthcare system. It describes the key entities in US healthcare and how they interact with each other. It introduces and describes key entities: Patient, Providers, Payers, and Clearinghouse. It also explains the key terms that are used in revenue cycle management to give you the complete picture of what happens after the patient gets service from a healthcare provider and how healthcare providers get paid.
This program will make you understand about medical codes, clearing houses, medical claims, different payment models and common data formats that are used in the US healthcare system.