Introduction to US healthcare

• Demographics of the population

• Disease prevalence

• General overview of costs

• Themes around “what’s wrong” with US healthcare

Providers

• A general overview of providers (inpatient vs. outpatient, hospital vs ambulatory, etc.)

• How providers get paid and where they spend money

• Examples of different provider types

• Important rules around providers (Stark and Anti-Kickback laws, Corporate Practice of Medicine, etc.)

Revenue Cycle Management - how money moves

• What is a claim and what goes into it?

• What are the different code types (ICD-10, CPT, etc.)

• What is the role of a clearinghouse?