• Post category:StudyBullet-17
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Revenue Cycle Management (RCM) in Medical Billing 2024
Pre Registration | Insurance Verification | Charge Entry | Claim Submission | A/R | Denial Management | Reporting (RCM)

What you will learn

You will gain an understanding of the 16 steps involved in Revenue Cycle Management in Healthcare.

You’ll learn how to explain and clear up financial transactions in medical billing, including pre-registration and insurance verification.

You will Learn what makes up a high performance pre-registration unit and what information is needed during patient registration.

You will discover how to verify a patient’s insurance coverage and the financial responsibility of the patient in medical billing.

You’ll learn about the three categories of CPT along with an overview of ICD-10-CM and HCPS.

You will discover the definition, five step process, and best practices for charging in medical billing.

You will learn what is included in a medical claim, how to submit a claim in 4 steps, and what happens after submission.

You’ll Know about the KPIs that needs to be tracked to maintain healthy accounts in medical billing.

You will learn how to improve the efficiency of your A/R process by automation.

You will discover the six steps of an effective denial management process, master best practices, and devise strategies to effectively manage denials.

you will actively engage with supplemental materials, course notes, and quizzes in each section of thisto measure and enhance your understanding in RCM.

You’ll utilize the RCM Course audiobook provided in the resource section of each unit to deepen your understanding and complement your learning experience.

You will receive tutor support & communicate with tutor through inbox.

You will obtain a Certificate of Completion in Revenue Cycle Management (RCM) in Medical Billing 2024।

Description

Do you know that you can help health care organizations identify inefficiencies, optimize processes, reduce denials, and increase revenues? The key to all these things is to master Revenue Cycle Management (RCM).

Our Accredited Revenue Cycle Management Course walks you through all the steps in revenue cycle management. Revenue cycle management is a way for healthcare providers to manage their administrative and clinical functions. With proper RCM, care providers can maximize their claim reimbursements, improve their medical billing process and increase their patient service revenue.

This course teaches you the 16 steps to revenue cycle management for effective medical billing. We’ll teach you everything you need to know about pre-registration and insurance verification. You will also get a basic understanding of medical coding, charge entry and claim submission.

In addition, you’ll learn about account receivable, denial management, and medical billing reporting best practices. If you are looking for a quick and effective guide to revenue cycle management, then this course may be the one for you.


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Don’t miss this chance to become a revenue cycle management expert. Earn an accredited certificate and enjoy lifetime access by enrolling today.

As a side note, this course is now fully accredited by the CPD! The certificate with the accredited logo can be obtained upon request. In any case, you will receive your official Udemy certificate of completion (since it is available for download immediately after the final lecture).

This course comes with the following Sections:

  1. Introduction to Revenue Cycle Management (RCM) in Healthcare : You will learn the basics of revenue cycle management in medical billing including the steps involved and knowledge requirement to become an expert in RCM.
  2. Pre-Registration and Insurance Verification: We will show you how to explain and clarify financial transactions, including the steps involved in the pre-registration and insurance verification process.
  3. Medical Coding, Charge Entry and Claim Submission: This section will teach you medical coding standards and systems, charge entry and claim submission to ensure accurate medical billing, reimbursement, and financial operations.
  4. Accounts Receivable (A/R) and A/R Follow-up : We will cover accounts receivable (A/R) process, best practices and challenges in medical billing. You will also learn how to reduce A/R days and automate process from this RCM course.
  5. Denial Management and Reporting in RCM: You will learn the strategic process of analysing, correcting, and preventing claim denials. We will also teach revenue reporting process metrics in revenue cycle management (RCM).
English
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Content

Introduction to Revenue Cycle Management (RCM) in Healthcare

1.1 Overview of Revenue Cycle Management
1.2 The Importance of RCM in Healthcare
1.3 Steps Involved in Revenue Cycle Management
1.4 Basic Knowledge Required to Become an Expert in RCM
1.5 Key Points
1.6 Your Feedback

Pre-Registration and Insurance Verification

2.1 Pre-Registration in RCM
2.2 The Role of Pre-Registration in RCM
2.3 Pre-registration requirements
2.4 Streamlining Patient Onboarding
2.5 The Benefits o Pre-registration Process
2.6 What is Insurance Verification
2.7 Methods of Insurance Verification
2.8 The Insurance Verification Process
2.9 Key Points

Medical Coding, Charge Entry and Claim Submission

3.2 Medical Coding Standards
3.3 Importance of Medical Coding in Healthcare
3.4 Benefits of Medical Coding
3.5 What is Charge Entry
3.6 The Process of Charge Entry
3.7 What is Claim Submission
3.8 Clean Claim Submission Process
3.9 What Happens After a Claim Submission
3.10 Key Points

Accounts Receivable (A/R) and A/R Follow-up

4.2 Important of A/R in RCM
4.3 A/R Benchmark
4.4 Understanding the A/R Process
4.5 The Challenges of A/R in RCM
4.6 Reducing A/R Days
4.7 Best Practices for Managing Accounts Receivable
4.8 Automate Your A/R Workflow
4.9 Key Points

Denial Management and Reporting in RCM

5.2 Types of Denials
5.3 The Denial Management Process
5.4 The Benefits of Denial Management in RCM
5.5 Challenges Involving Denial Management
5.6 Best Practices and Strategies
5.7 The Role of Reporting in Revenue Cycle Management
5.8 The Metrics of Reporting
5.9 Improving RCM Process Through a Feedback Cycle
Key Points 5.10