Mastering Revenue Cycle Management: A Step-by-Step Guide

Course Overview

This comprehensive course is designed to equip healthcare professionals with the knowledge and skills needed to master revenue cycle management. Participants will learn the fundamentals of revenue cycle management, including patient access, charge capture, coding, billing, and reimbursement. Upon completion of the course, participants will receive a certificate issued by The Art of Service.

Course Features

• Interactive and engaging learning experience
• Comprehensive and up-to-date content
• Personalized learning approach
• Practical and real-world applications
• High-quality content developed by expert instructors
• Certification upon completion
• Flexible learning schedule
• User-friendly and mobile-accessible platform
• Community-driven learning environment
• Actionable insights and hands-on projects
• Bite-sized lessons for easy learning
• Lifetime access to course materials
• Gamification and progress tracking features

Course Outline

Module 1: Introduction to Revenue Cycle Management

• Defining revenue cycle management
• Understanding the revenue cycle process
• Key components of revenue cycle management
• Benefits of effective revenue cycle management

Module 2: Patient Access and Registration

• Importance of patient access and registration
• Best practices for patient registration and scheduling
• Verification and validation of patient information
• Managing patient flow and throughput

Module 3: Charge Capture and Coding

• Understanding charge capture and coding concepts
• Best practices for charge capture and coding
• ICD-10 and CPT coding systems
• Coding compliance and auditing

Module 4: Billing and Reimbursement

• Understanding billing and reimbursement concepts
• Best practices for billing and reimbursement
• Claims processing and payment posting
• Denials management and appeals

Module 5: Insurance and Managed Care

• Understanding insurance and managed care concepts
• Best practices for insurance verification and authorization
• Managed care contracting and negotiation
• Insurance billing and reimbursement

Module 6: Revenue Cycle Analytics and Reporting

• Understanding revenue cycle analytics and reporting concepts
• Best practices for revenue cycle analytics and reporting
• Key performance indicators (KPIs) for revenue cycle management
• Data-driven decision making for revenue cycle improvement

Module 7: Revenue Cycle Compliance and Risk Management

• Understanding revenue cycle compliance and risk management concepts
• Best practices for revenue cycle compliance and risk management
• Compliance with regulatory requirements
• Risk management strategies for revenue cycle management

Module 8: Revenue Cycle Optimization and Improvement

• Understanding revenue cycle optimization and improvement concepts
• Best practices for revenue cycle optimization and improvement
• Lean and Six Sigma methodologies for revenue cycle improvement
• Change management and implementation strategies

Module 9: Revenue Cycle Technology and Automation

• Understanding revenue cycle technology and automation concepts
• Best practices for revenue cycle technology and automation
• Revenue cycle management systems and software
• Automation and artificial intelligence in revenue cycle management

Module 10: Revenue Cycle Leadership and Management

• Understanding revenue cycle leadership and management concepts
• Best practices for revenue cycle leadership and management
• Strategic planning and goal setting for revenue cycle management
• Talent management and development for revenue cycle teams

Certification

Upon completion of the course, participants will receive a certificate issued by The Art of Service, demonstrating their mastery of revenue cycle management concepts and skills.

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