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
患者登録、保険確認、医療コーディング、請求、請求と拒否管理のステップバイステップ
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
完全なRCMプロセスを理解する
請求管理能力を向上させる
請求とコーディングのスキルを開発する
財務パフォーマンスを改善する
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
RCMの事前経験は必要ありません。
医療運営の基本的な理解が役立ちます。
医療財務と請求プロセスへの興味。
収益サイクル管理の実践を学ぶ意欲。
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
医療における収益サイクル管理（RCM）の包括的なコースへようこそ。医療専門家、管理者、請求スペシャリスト、そして医療の財務運営に興味のある方のために設計されたこのコースは、医療環境における財務ワークフローの管理と最適化に関する深い洞察を提供します。
このコースは、患者のスケジューリングと登録から適格性確認、サービス料金の入力、コーディングと請求、請求書の提出、支払い処理、未収金管理まで、RCMプロセスのあらゆる側面を綿密にカバーしています。二次請求、異議申し立て手続き、患者回収に関する高度なモジュールも含まれ、RCMの全スペクトルを理解できるようになっています。
学習者は、実世界の例、詳細なケーススタディ、インタラクティブなディスカッションを通じて学び、RCMの原則をそれぞれの役割に効果的に適用するための実践的なスキルを身につけることができます。医療管理の初心者や、知識を更新したい経験豊富な専門家に最適なこのコースは、医療財務管理の複雑さをマスターするための入り口です。
このコースを修了すると、参加者は財務パフォーマンスを向上させるだけでなく、患者満足度を改善し、医療規制への準拠を確保する戦略を実装できるようになります。収益サイクル管理コースに登録して、医療業界の財務の複雑さをナビゲートする上で不可欠なスキルを身につけ、熟達しましょう。
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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