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
Patient Registration, Insurance Verification, Medical Coding, Billing, Claims & Denial Management Step by Step
所有級別 • 24 講座 • 終身訪問
認證碩士導師
拖車
認識您的導師：Dr. Amar Massoud
19 ms
5.0 / 5.0
全球評級美国英语
99 種語言字幕1小時 38分
總內容你將學到什麼
Understand the Complete RCM Process
Enhance Claims Management Abilities
Develop Skills in Billing and Coding
Improve Financial Performance
課程內容
8 部分 • 24 講座 • 01:38:05 總長度Payment 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
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AI根據您的可用時間生成個人化時間表5 小時/週
要求
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.
目標受眾
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.
關於本課程
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.
職業發展機會與目標職位
掌握前沿實務技能，勝任全球高薪核心職務
就業就緒型課程
可應徵的目標職位
Operations & Business Analyst
Quality Management Auditor (ISO)
Project Operations Lead
Corporate Process Strategist
預估年薪範圍
$75,000 – $120,000 / yr
全球產業需求
Steady Enterprise & Corporate Demand
掌握的核心關鍵技能* 估算數據基於全球科技產業薪酬指標與市場招聘報告。
Risk Assessment & Auditing Compliance
Operational Efficiency & Frameworks
Financial Reporting & Modeling
Cross-Functional Team Leadership
認識您的講師
Dr. Amar Massoud
主要導師
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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