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Revenue Cycle Management (RCM): Healthcare Guide

患者注册、保险验证、医疗编码、计费、索赔和拒付管理步骤

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

Verified Master Instructor

医疗保健收入周期管理(RCM)指南
TRAILER
Meet your instructor: Dr. Amar Massoud

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

What you will learn

了解完整的RCM流程
增强索赔管理能力
发展计费和编码技能
提升财务表现

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

无需任何RCM经验。

了解医疗保健运营有帮助。

对医疗保健财务和计费流程感兴趣。

愿意学习收入周期管理实践。

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

欢迎参加我们全面的医疗保健收入周期管理(RCM)课程。该课程专为医疗保健专业人员、管理员、计费专家以及任何对医疗保健财务运营感兴趣的人士设计。本课程深入探讨了医疗保健环境中管理和优化财务工作流程的方法。

本课程详细涵盖了RCM流程的各个方面,从患者预约和注册到资格验证、服务费用登记、编码和计费、索赔提交、付款处理和应收账款管理。它还深入探讨了次级计费、申诉程序和患者催收等高级模块,提供了对RCM的全面理解。

学员将通过真实案例、详细的案例研究和互动讨论,掌握在各自的角色中有效应用RCM原则的实际技能。对于医疗保健管理新手或希望更新知识的资深专业人士来说,本课程是掌握医疗保健财务管理复杂性的入门之钥。

通过本课程,学员将能够实施不仅能提高财务表现,还能改善患者满意度并确保符合医疗保健法规的策略。报名参加我们的收入周期管理课程,培养必要的技能,成为能够驾驭医疗保健行业财务复杂性的专业人士。

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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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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