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Revenue Cycle Management (RCM): Healthcare Guide

Patient Registration, Insurance Verification, Medical Coding, Billing, Claims & Denial Management Step by Step

All Levels • 24 Lectures • Full Lifetime Access
Dr. Amar Massoud

Verified Master Instructor

Revenue Cycle Management (RCM): Healthcare Guide
TRAILER
Meet your instructor: Dr. Amar Massoud

19 ms

5.0 / 5.0
Global Rating
English (US)
99 Languages Subtitles
1h 38m
Total Content

What you will learn

Understand the Complete RCM Process
Enhance Claims Management Abilities
Develop Skills in Billing and Coding
Improve Financial Performance

Course Content

8 sections • 24 lectures • 01:38:05 total length

Final Stages of RCM

02:24

Step 14: Appeal Procedures

04:01

Step 15: Patient Billing and Collections

04:17

Payment and Reimbursement Processes

02:45

Step 11: Payment Posting

04:29

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.

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
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Requirements

No prior RCM experience is required.

Basic understanding of healthcare operations is helpful.

Interest in healthcare finance and billing processes.

A willingness to learn revenue cycle management practices.

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

Welcome to our comprehensive Revenue Cycle Management (RCM) in Healthcare course. Designed for healthcare professionals, administrators, billing specialists, and anyone interested in the financial operations of healthcare, this course offers deep insights into managing and optimizing financial workflows within healthcare settings.

This course meticulously covers all aspects of the RCM process, from patient scheduling and registration to eligibility verification, service charge entry, coding and billing, claim submission, payment processing, and accounts receivable management. It delves deeper with advanced modules on secondary billing, appeal procedures, and patient collections, providing a full spectrum understanding of RCM.

Learners will engage with real-world examples, detailed case studies, and interactive discussions, equipping them with practical skills to apply RCM principles effectively in their respective roles. Ideal for those new to healthcare management or seasoned professionals looking to update their knowledge, this course is a gateway to mastering the complexities of healthcare financial management.

By the end of this course, participants will be capable of implementing strategies that not only enhance financial performance but also improve patient satisfaction and ensure compliance with healthcare regulations. Enroll in our Revenue Cycle Management course to develop essential skills and become proficient in navigating the financial intricacies of the healthcare industry.

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
Risk Assessment & Auditing Compliance
Operational Efficiency & Frameworks
Financial Reporting & Modeling
Cross-Functional Team Leadership
* Estimates based on global tech hiring benchmarks and industry compensation reports.
Meet your instructor
Dr. Amar Massoud
5.0 Rating
5 Students
View Full Profile
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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