Revenue Cycle Management Mastery for Healthcare Professionals
Course Overview This comprehensive course is designed to equip healthcare professionals with the knowledge and skills necessary to master Revenue Cycle Management (RCM). Participants will gain a deep understanding of the RCM process, from patient registration to payment posting, and learn how to optimize revenue cycle operations to improve financial performance.
Course Objectives - Understand the fundamentals of Revenue Cycle Management and its importance in healthcare
- Identify key components of the revenue cycle and their interdependencies
- Analyze and improve patient access and registration processes
- Optimize charge capture and coding practices
- Streamline claims management and denial resolution
- Improve patient engagement and satisfaction
- Enhance revenue cycle performance through data analysis and reporting
Course Outline Module 1: Introduction to Revenue Cycle Management
- Defining Revenue Cycle Management
- Importance of RCM in healthcare
- Key components of the revenue cycle
- Overview of the RCM process
- Challenges and opportunities in RCM
Module 2: Patient Access and Registration
- Patient registration processes
- Insurance verification and eligibility
- Patient demographics and insurance data management
- Registration best practices
- Common registration errors and how to avoid them
Module 3: Charge Capture and Coding
- Charge capture processes
- Coding fundamentals (ICD-10, CPT, HCPCS)
- Coding compliance and regulatory requirements
- Charge capture and coding best practices
- Common coding errors and how to avoid them
Module 4: Claims Management
- Claims submission processes
- Claims scrubbing and editing
- Claims denial management
- Appeals and resubmission processes
- Claims management best practices
Module 5: Denial Management and Resolution
- Denial management strategies
- Root cause analysis of denials
- Denial resolution processes
- Appeals and resubmission processes
- Denial management best practices
Module 6: Patient Engagement and Satisfaction
- Patient engagement strategies
- Patient communication best practices
- Patient satisfaction measurement and improvement
- Patient financial counseling and support
- Patient engagement and satisfaction metrics
Module 7: Revenue Cycle Performance Metrics and Reporting
- Key performance indicators (KPIs) for RCM
- Revenue cycle dashboard development
- Data analysis and reporting for RCM
- Benchmarking and best practices
- Using data to drive RCM improvement
Module 8: Revenue Cycle Optimization
- Identifying areas for improvement
- Process mapping and analysis
- Implementing changes and monitoring results
- Revenue cycle optimization best practices
- Case studies and examples
Module 9: Technology and Automation in RCM
- Overview of RCM technology and automation
- Electronic health records (EHRs) and RCM
- Revenue cycle management systems (RCMS)
- Automating RCM processes
- Emerging trends and innovations in RCM technology
Module 10: Regulatory Compliance and Risk Management
- Overview of regulatory requirements for RCM
- HIPAA and RCM
- Compliance risk assessment and mitigation
- Audit preparation and response
- Regulatory compliance best practices
Course Features - Interactive and Engaging: Learn through a mix of video lessons, interactive quizzes, and hands-on projects
- Comprehensive and Up-to-date: Stay current with the latest industry trends and best practices
- Personalized: Learn at your own pace and on your own schedule
- Practical and Real-world: Apply your knowledge to real-world scenarios and case studies
- High-quality Content: Expert instructors and high-quality content ensure a rich learning experience
- Certification: Receive a certificate upon completion issued by The Art of Service
- Flexible Learning: Access the course from anywhere, on any device, at any time
- User-friendly: Easy-to-use platform and mobile accessibility
- Community-driven: Connect with peers and instructors through discussion forums
- Actionable Insights: Gain practical knowledge and skills to improve your RCM processes
- Hands-on Projects: Apply your knowledge to real-world projects and case studies
- Bite-sized Lessons: Learn in manageable chunks, with lessons ranging from 10-30 minutes
- Lifetime Access: Access the course materials for a lifetime
- Gamification: Engage with interactive elements and earn rewards
- Progress Tracking: Monitor your progress and stay on track
Certification Upon completion of the course, participants will receive a certificate issued by The Art of Service, recognizing their mastery of Revenue Cycle Management.,
- Understand the fundamentals of Revenue Cycle Management and its importance in healthcare
- Identify key components of the revenue cycle and their interdependencies
- Analyze and improve patient access and registration processes
- Optimize charge capture and coding practices
- Streamline claims management and denial resolution
- Improve patient engagement and satisfaction
- Enhance revenue cycle performance through data analysis and reporting
Course Outline Module 1: Introduction to Revenue Cycle Management
- Defining Revenue Cycle Management
- Importance of RCM in healthcare
- Key components of the revenue cycle
- Overview of the RCM process
- Challenges and opportunities in RCM
Module 2: Patient Access and Registration
- Patient registration processes
- Insurance verification and eligibility
- Patient demographics and insurance data management
- Registration best practices
- Common registration errors and how to avoid them
Module 3: Charge Capture and Coding
- Charge capture processes
- Coding fundamentals (ICD-10, CPT, HCPCS)
- Coding compliance and regulatory requirements
- Charge capture and coding best practices
- Common coding errors and how to avoid them
Module 4: Claims Management
- Claims submission processes
- Claims scrubbing and editing
- Claims denial management
- Appeals and resubmission processes
- Claims management best practices
Module 5: Denial Management and Resolution
- Denial management strategies
- Root cause analysis of denials
- Denial resolution processes
- Appeals and resubmission processes
- Denial management best practices
Module 6: Patient Engagement and Satisfaction
- Patient engagement strategies
- Patient communication best practices
- Patient satisfaction measurement and improvement
- Patient financial counseling and support
- Patient engagement and satisfaction metrics
Module 7: Revenue Cycle Performance Metrics and Reporting
- Key performance indicators (KPIs) for RCM
- Revenue cycle dashboard development
- Data analysis and reporting for RCM
- Benchmarking and best practices
- Using data to drive RCM improvement
Module 8: Revenue Cycle Optimization
- Identifying areas for improvement
- Process mapping and analysis
- Implementing changes and monitoring results
- Revenue cycle optimization best practices
- Case studies and examples
Module 9: Technology and Automation in RCM
- Overview of RCM technology and automation
- Electronic health records (EHRs) and RCM
- Revenue cycle management systems (RCMS)
- Automating RCM processes
- Emerging trends and innovations in RCM technology
Module 10: Regulatory Compliance and Risk Management
- Overview of regulatory requirements for RCM
- HIPAA and RCM
- Compliance risk assessment and mitigation
- Audit preparation and response
- Regulatory compliance best practices
Course Features - Interactive and Engaging: Learn through a mix of video lessons, interactive quizzes, and hands-on projects
- Comprehensive and Up-to-date: Stay current with the latest industry trends and best practices
- Personalized: Learn at your own pace and on your own schedule
- Practical and Real-world: Apply your knowledge to real-world scenarios and case studies
- High-quality Content: Expert instructors and high-quality content ensure a rich learning experience
- Certification: Receive a certificate upon completion issued by The Art of Service
- Flexible Learning: Access the course from anywhere, on any device, at any time
- User-friendly: Easy-to-use platform and mobile accessibility
- Community-driven: Connect with peers and instructors through discussion forums
- Actionable Insights: Gain practical knowledge and skills to improve your RCM processes
- Hands-on Projects: Apply your knowledge to real-world projects and case studies
- Bite-sized Lessons: Learn in manageable chunks, with lessons ranging from 10-30 minutes
- Lifetime Access: Access the course materials for a lifetime
- Gamification: Engage with interactive elements and earn rewards
- Progress Tracking: Monitor your progress and stay on track
Certification Upon completion of the course, participants will receive a certificate issued by The Art of Service, recognizing their mastery of Revenue Cycle Management.,
- Interactive and Engaging: Learn through a mix of video lessons, interactive quizzes, and hands-on projects
- Comprehensive and Up-to-date: Stay current with the latest industry trends and best practices
- Personalized: Learn at your own pace and on your own schedule
- Practical and Real-world: Apply your knowledge to real-world scenarios and case studies
- High-quality Content: Expert instructors and high-quality content ensure a rich learning experience
- Certification: Receive a certificate upon completion issued by The Art of Service
- Flexible Learning: Access the course from anywhere, on any device, at any time
- User-friendly: Easy-to-use platform and mobile accessibility
- Community-driven: Connect with peers and instructors through discussion forums
- Actionable Insights: Gain practical knowledge and skills to improve your RCM processes
- Hands-on Projects: Apply your knowledge to real-world projects and case studies
- Bite-sized Lessons: Learn in manageable chunks, with lessons ranging from 10-30 minutes
- Lifetime Access: Access the course materials for a lifetime
- Gamification: Engage with interactive elements and earn rewards
- Progress Tracking: Monitor your progress and stay on track