Mastering Revenue Cycle Management: A Step-by-Step Guide to Ensuring Compliance and Mitigating Risk
Course Overview This comprehensive course is designed to provide healthcare professionals with a thorough understanding of revenue cycle management, including the latest regulations, best practices, and risk mitigation strategies. Participants will receive a certificate upon completion, issued by The Art of Service.
Course Features - Interactive and Engaging: Learn through interactive lessons, quizzes, and hands-on projects
- Comprehensive and Personalized: Get a tailored learning experience with our expert instructors
- Up-to-date and Practical: Stay current with the latest industry developments and apply your knowledge in real-world scenarios
- High-quality Content: Enjoy expertly crafted lessons, videos, and resources
- Certification: Receive a certificate upon completion, issued by The Art of Service
- Flexible Learning: Access the course on your schedule, from any device
- User-friendly and Mobile-accessible: Learn on-the-go with our intuitive platform
- Community-driven: Connect with peers and instructors through our online community
- Actionable Insights: Apply your knowledge to real-world challenges and see immediate results
- Hands-on Projects: Practice your skills with interactive projects and exercises
- Bite-sized Lessons: Learn in manageable chunks, at your own pace
- Lifetime Access: Enjoy access to the course materials forever
- Gamification and Progress Tracking: Stay motivated with our engaging gamification system and track your progress
Course Outline Module 1: Introduction to Revenue Cycle Management
- Defining Revenue Cycle Management: Understanding the scope and importance of RCM
- Key Components of RCM: Identifying the critical elements of a successful RCM strategy
- Industry Trends and Challenges: Staying current with the latest developments and obstacles in RCM
Module 2: Patient Access and Registration
- Patient Registration and Scheduling: Best practices for efficient patient intake and scheduling
- Insurance Verification and Eligibility: Ensuring accurate insurance information and eligibility
- Patient Financial Responsibility: Communicating financial obligations to patients
Module 3: Charge Capture and Coding
- Charge Capture and Coding Fundamentals: Understanding the principles of charge capture and coding
- ICD-10 and CPT Coding: Mastering the latest coding systems and guidelines
- Coding Compliance and Auditing: Ensuring coding accuracy and compliance
Module 4: Claims Processing and Reimbursement
- Claims Submission and Processing: Best practices for efficient claims submission and processing
- Reimbursement Methodologies: Understanding payment systems and reimbursement models
- Denials and Appeals Management: Strategies for managing denials and appeals
Module 5: Compliance and Risk Management
- Regulatory Compliance: Understanding HIPAA, OIG, and other regulatory requirements
- Risk Management Strategies: Identifying and mitigating risks in the revenue cycle
- Audit and Compliance Programs: Implementing effective audit and compliance programs
Module 6: Revenue Cycle Analytics and Performance Improvement
- Revenue Cycle Metrics and Benchmarking: Tracking and analyzing key performance indicators
- Performance Improvement Strategies: Implementing data-driven improvements in the revenue cycle
- Revenue Cycle Optimization: Best practices for optimizing revenue cycle performance
Module 7: Advanced Revenue Cycle Topics
- Value-Based Payment Models: Understanding the impact of value-based payment on revenue cycle management
- Telehealth and Virtual Care: Managing revenue cycle challenges in telehealth and virtual care settings
- Artificial Intelligence and Automation: Leveraging AI and automation in revenue cycle management
Module 8: Capstone Project and Final Assessment
- Capstone Project: Applying knowledge and skills in a real-world project
- Final Assessment: Comprehensive assessment of knowledge and skills
Upon completing this comprehensive course, participants will receive a certificate issued by The Art of Service, demonstrating their expertise in revenue cycle management.,
- Interactive and Engaging: Learn through interactive lessons, quizzes, and hands-on projects
- Comprehensive and Personalized: Get a tailored learning experience with our expert instructors
- Up-to-date and Practical: Stay current with the latest industry developments and apply your knowledge in real-world scenarios
- High-quality Content: Enjoy expertly crafted lessons, videos, and resources
- Certification: Receive a certificate upon completion, issued by The Art of Service
- Flexible Learning: Access the course on your schedule, from any device
- User-friendly and Mobile-accessible: Learn on-the-go with our intuitive platform
- Community-driven: Connect with peers and instructors through our online community
- Actionable Insights: Apply your knowledge to real-world challenges and see immediate results
- Hands-on Projects: Practice your skills with interactive projects and exercises
- Bite-sized Lessons: Learn in manageable chunks, at your own pace
- Lifetime Access: Enjoy access to the course materials forever
- Gamification and Progress Tracking: Stay motivated with our engaging gamification system and track your progress