Post payments from patients and insurers to the accounting system by matching them to each patient account and billed service, including adjustments or denials, supporting revenue recognition and cash flow.
Revenue Cycle Management (RCM): Healthcare Guide
Registro de Pacientes, Verificação de Seguro, Codificação Médica, Faturamento, Gerenciamento de Reclamações e Negações Passo a Passo
All Levels • 24 Lectures • Full Lifetime Access
Verified Master Instructor
TRAILER
Meet your instructor: Dr. Amar Massoud
19 ms
5.0 / 5.0
Global Rating1
Active StudentsEnglish (US)
99 Languages Subtitles1h 38m
Total ContentWhat you will learn
Entender o Processo Completo de RCM
Melhorar as Habilidades de Gerenciamento de Reclamações
Desenvolver Habilidades em Faturamento e Codificação
Melhorar o Desempenho Financeiro
Course Content
8 sections • 24 lectures • 01:38:05 total lengthPayment and Reimbursement Processes
02:45
Step 11: Payment Posting
04:29
Step 12: Accounts Receivable Management
05:07
Step 13: Secondary Filing
04:18
Clinical Steps
03:16
Explore the clinical steps in revenue cycle management: utilization review for medical necessity and cost and quality alignment, referrals and authorizations, and accurate charge description for proper billing.
Step 4: Utilization Review
04:35
Step 5: Referral and Authorization
04:01
Step 6: Describing Charges
04:12
Weekly Study Plan
Plan Your Learning Journey
AI generates a personalized schedule based on your availability5 hrs/week
Requirements
Nenhuma experiência prévia em RCM é necessária.
Compreensão básica das operações de saúde é útil.
Interesse em finanças de saúde e processos de faturamento.
Disposição para aprender práticas de gestão do ciclo de receita.
Target Audience
Healthcare Professionals: Doctors, nurses, and healthcare providers seeking to understand healthcare finance and revenue cycle processes.
Healthcare Administrators and Managers: Professionals seeking to improve financial outcomes and operational efficiency through RCM.
Medical Billing and Coding Specialists: Professionals looking to update or refine their knowledge and skills in coding, billing, and the insurance claims process.
Healthcare Consultants: Consultants who advise healthcare practices on various aspects of business and operations, including financial management and RCM.
About this course
Bem-vindo ao nosso curso abrangente de Gestão do Ciclo de Receita (RCM) em Saúde. Projetado para profissionais de saúde, administradores, especialistas em faturamento e qualquer pessoa interessada nas operações financeiras da área de saúde, este curso oferece insights profundos sobre como gerenciar e otimizar os fluxos de trabalho financeiros em ambientes de saúde.
Este curso aborda meticulosamente todos os aspectos do processo RCM, desde o agendamento e registro do paciente até a verificação de elegibilidade, entrada de cobrança de serviços, codificação e faturamento, submissão de reivindicações, processamento de pagamentos e gestão de contas a receber. Ele se aprofunda com módulos avançados sobre faturamento secundário, procedimentos de recurso e cobrança de pacientes, fornecendo uma compreensão completa do RCM.
Os alunos se envolverão com exemplos do mundo real, estudos de caso detalhados e discussões interativas, equipando-os com habilidades práticas para aplicar os princípios do RCM efetivamente em suas respectivas funções. Ideal para aqueles novos na gestão de saúde ou profissionais experientes que buscam atualizar seus conhecimentos, este curso é uma porta de entrada para dominar as complexidades da gestão financeira da saúde.
Ao final deste curso, os participantes serão capazes de implementar estratégias que não apenas melhorem o desempenho financeiro, mas também a satisfação do paciente e garantam a conformidade com as regulamentações de saúde. Inscreva-se em nosso curso de Gestão do Ciclo de Receita para desenvolver habilidades essenciais e tornar-se proficiente na navegação das complexidades financeiras da indústria de saúde.
Career Opportunities & Job Roles
Build practical, job-ready skills and qualify for high-impact roles worldwide
Job-Ready Curriculum
Target Roles You Can Apply For
Operations & Business Analyst
Quality Management Auditor (ISO)
Project Operations Lead
Corporate Process Strategist
Estimated Annual Salary
$75,000 – $120,000 / yr
Global Industry Demand
Steady Enterprise & Corporate Demand
In-Demand Skills You Master* Estimates based on global tech hiring benchmarks and industry compensation reports.
Risk Assessment & Auditing Compliance
Operational Efficiency & Frameworks
Financial Reporting & Modeling
Cross-Functional Team Leadership
Meet your instructor
Dr. Amar Massoud
Main Instructor
PhD in computer science and IT manager with 36 years technical experience in various fields including IT Security, IT Governance, IT Service Management , Software Development, Project Management, Business Analysis and Software Architecture. I hold 80+ IT certifications such as :
ITIL 4 Master, ITIL 3 Expert
ISO 27001 Auditor, ComptIA Security+, GSEC, CEH, ECSA, CISM, CISSP, CISA
PGMP, MSP
PMP, PMI-ACP, Prince2 Practitioner, Praxis, Scrum Master
COBIT 2019 Implementor, COBIT 5 Assessor/Implementer
TOGAF certified
Lean Specialist, VSM Specialist
PMI RMP, ISO 31000 Risk Manager, ISO 22301 Lead Auditor
PMI-PBA, CBAP
Lean Six Sigma Black Belt, ISO 9001 Implementer
Azure Administrator, Azure DevOps Expert, AWS Practitioner
And many more....
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Frequently Asked Questions
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Yes! Upon completing 100% of the course lectures and assignments, you can instantly download your verified digital Certificate of Completion directly from your Lucebra profile.
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