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Revenue Cycle Management (RCM): Healthcare Guide (コース)

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

すべてのレベル • 24 講義 • 生涯アクセス
Dr. Amar Massoud

認定マスターインストラクター

Revenue Cycle Management (RCM): Healthcare Guide
トレーラー
インストラクターに会う: Dr. Amar Massoud

19 ms

5.0 / 5.0
グローバル評価
アメリカ英語
99言語の字幕
1時間 38分
総コンテンツ

何を学ぶか

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

コース内容

8 セクション • 24 講義 • 01:38:05 全長

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
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要件

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.

対象者

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.

このコースについて

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.

キャリア機会と目指せる職種

実践的な実務スキルを身につけ、グローバルに活躍できる職種へのキャリアを拓きます

実践即戦力カリキュラム
目指せる主な職種・ポジション

Operations & Business Analyst

Quality Management Auditor (ISO)

Project Operations Lead

Corporate Process Strategist

想定平均年収
$75,000 – $120,000 / yr
世界的な市場需要

Steady Enterprise & Corporate Demand

習得できる実践スキル
Risk Assessment & Auditing Compliance
Operational Efficiency & Frameworks
Financial Reporting & Modeling
Cross-Functional Team Leadership
* グローバルなテクノロジー業界の採用基準および給与調査レポートに基づいた目安です。
講師の紹介
Dr. Amar Massoud
主な講師
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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