Maximizing Revenue Cycle Efficiency: Strategies for Healthcare Leaders to Boost Productivity and Profitability
Course Overview This comprehensive course is designed to equip healthcare leaders with the knowledge and skills necessary to optimize revenue cycle efficiency, boost productivity, and increase profitability. Participants will receive a certificate upon completion, issued by The Art of Service.
Course Curriculum Module 1: Revenue Cycle Fundamentals
- Defining Revenue Cycle Management: Understanding the revenue cycle process and its importance in healthcare
- Revenue Cycle Components: Identifying the key components of the revenue cycle, including patient access, charge capture, and claims processing
- Revenue Cycle Metrics: Understanding key performance indicators (KPIs) for measuring revenue cycle efficiency
Module 2: Patient Access and Front-End Operations
- Patient Scheduling and Registration: Strategies for optimizing patient scheduling and registration processes
- Insurance Verification and Eligibility: Best practices for verifying patient insurance and eligibility
- Patient Financial Clearance: Understanding the importance of patient financial clearance and how to implement effective processes
Module 3: Charge Capture and Coding
- Charge Capture Fundamentals: Understanding the charge capture process and its impact on revenue cycle efficiency
- Coding and Compliance: Understanding coding guidelines and compliance regulations
- Clinical Documentation Improvement: Strategies for improving clinical documentation to support accurate coding and billing
Module 4: Claims Processing and Reimbursement
- Claims Processing Fundamentals: Understanding the claims processing cycle and its impact on revenue cycle efficiency
- Claims Submission and Follow-Up: Best practices for submitting and following up on claims
- Denial Management and Appeals: Strategies for managing denials and appealing claims
Module 5: Revenue Cycle Analytics and Performance Improvement
- Revenue Cycle Data Analysis: Understanding how to analyze revenue cycle data to identify trends and opportunities for improvement
- Performance Improvement Strategies: Strategies for improving revenue cycle efficiency and reducing costs
- Benchmarking and Best Practices: Understanding how to benchmark revenue cycle performance and implement best practices
Module 6: Leadership and Change Management
- Leadership Principles for Revenue Cycle Success: Understanding the importance of leadership in driving revenue cycle success
- Change Management Strategies: Strategies for implementing change and driving adoption within the revenue cycle team
- Communication and Collaboration: Understanding the importance of effective communication and collaboration within the revenue cycle team
Course Features - Interactive and Engaging: Interactive lessons and activities to keep participants engaged
- Comprehensive and Personalized: Comprehensive curriculum tailored to the needs of healthcare leaders
- Up-to-Date and Practical: Up-to-date information and practical applications to support real-world challenges
- High-Quality Content and Expert Instructors: High-quality content developed by expert instructors with extensive experience in revenue cycle management
- Certification and Flexible Learning: Certificate of Completion issued by The Art of Service and flexible learning options to accommodate busy schedules
- User-Friendly and Mobile-Accessible: User-friendly platform and mobile-accessible content for on-the-go learning
- Community-Driven and Actionable Insights: Community-driven discussions and actionable insights to support ongoing learning and improvement
- Hands-On Projects and Bite-Sized Lessons: Hands-on projects and bite-sized lessons to support practical application and retention
- Lifetime Access and Gamification: Lifetime access to course materials and gamification features to support ongoing engagement and motivation
- Progress Tracking and Support: Progress tracking and support to ensure participants stay on track and achieve their goals
Certificate of Completion Upon completion of the course, participants will receive a Certificate of Completion issued by The Art of Service. This certificate demonstrates expertise in revenue cycle management and commitment to ongoing learning and professional development.
Module 1: Revenue Cycle Fundamentals
- Defining Revenue Cycle Management: Understanding the revenue cycle process and its importance in healthcare
- Revenue Cycle Components: Identifying the key components of the revenue cycle, including patient access, charge capture, and claims processing
- Revenue Cycle Metrics: Understanding key performance indicators (KPIs) for measuring revenue cycle efficiency
Module 2: Patient Access and Front-End Operations
- Patient Scheduling and Registration: Strategies for optimizing patient scheduling and registration processes
- Insurance Verification and Eligibility: Best practices for verifying patient insurance and eligibility
- Patient Financial Clearance: Understanding the importance of patient financial clearance and how to implement effective processes
Module 3: Charge Capture and Coding
- Charge Capture Fundamentals: Understanding the charge capture process and its impact on revenue cycle efficiency
- Coding and Compliance: Understanding coding guidelines and compliance regulations
- Clinical Documentation Improvement: Strategies for improving clinical documentation to support accurate coding and billing
Module 4: Claims Processing and Reimbursement
- Claims Processing Fundamentals: Understanding the claims processing cycle and its impact on revenue cycle efficiency
- Claims Submission and Follow-Up: Best practices for submitting and following up on claims
- Denial Management and Appeals: Strategies for managing denials and appealing claims
Module 5: Revenue Cycle Analytics and Performance Improvement
- Revenue Cycle Data Analysis: Understanding how to analyze revenue cycle data to identify trends and opportunities for improvement
- Performance Improvement Strategies: Strategies for improving revenue cycle efficiency and reducing costs
- Benchmarking and Best Practices: Understanding how to benchmark revenue cycle performance and implement best practices
Module 6: Leadership and Change Management
- Leadership Principles for Revenue Cycle Success: Understanding the importance of leadership in driving revenue cycle success
- Change Management Strategies: Strategies for implementing change and driving adoption within the revenue cycle team
- Communication and Collaboration: Understanding the importance of effective communication and collaboration within the revenue cycle team