The top 4 Cycle Management courses you need to take

1. Learn Revenue cycle healthcare management

4.4

(132)

The Revenue Cycle Management Program is designed to strengthen the ability to anticipate challenges and solve difficult problems. Program participants will develop an understanding of the end-to-end functions within the revenue cycle, the interface between those functions, and the impact on the profitability of an organization. The purpose of this course is to help health information professionals better understand and participate in revenue cycle management in their facilities. Although an understanding of healthcare financial management is a required competency in the current Commission on Accreditation of Health Informatics and Information Management Education. In an increasingly complex healthcare environment and with many healthcare facilities closing because they are unable to survive bankruptcy, it is important that all healthcare workers understand, appreciate, and participate fully in their role in the financial health of a facility. Exploring a range of tools and resources needed to optimize revenue cycle including how to verify insurance eligibility and determine benefit levels, the different claim forms and the importance of collecting accurate information for submission, how to successfully appeal denied claims, and more. Students will also learn how to effectively communicate to patients and provide exceptional customer service. Scientific Objectives of the course:1 Exploring the Key Departments in Revenue Cycle ManagementSubject(s):- Introduction to Revenue Cycle Management.-Revenue Cycle Management Process Flow.-Financial management2 To describe how coding affect the revenue that coming from health insuranceSubject(s): Monitoring Coding Quality. Completion of Services and Medical Coding.3 To manage health care revenue cycleSubject(s):-Claims Management.-Reimbursement and Contract Management.-Denial Management...

2. Medical Billing Online Course Revenue Cycle Management

4.3

(149)

In this Medical Billing Training course, you will learn the following points and much more: Parties Involved in BillingParties Involved in Medical BillingTypes of ProvidersTypes of PatientsFederal & Commercial CarriersPrimary, Secondary, Tertiary InsuranceCopay, Co-Insurance, Deductible & OOPIn -Network & OONTypes of Health Insurance plans (HMO, PPO, HDHP..)MVA, WC , Self PayMedical Billing CyclePatient Scheduling , No ShowInsurance VerificationPatient DemographyFee Schedule, Place of ServiceCharge Posting, Cross overEDI EnrollmentClearing House, Claim Submission, Electronic & PaperBilled, Allowed, Paid & Write offERA, EOB & Payment Posting, FFS, Capitation, With hold, Offset, RefundInterest Payment, Late Charges, Medical Record Payment & NSFDenial ScenariosAR AnalysisAR Follow-upCredit Balance ReviewPatient Statements & CollectionsBad DebtBankruptcyAR Days, Net Collection & Denial RateReportingDenial Analysis:1) Patient & Demographic Based Denials: Coverage / ID Problem Waiting for Additional Info from PatientInsurance Address ChangePatient Not in SystemPre-Existing Condition2) Coding based Denials: Procedure (CPT)/Diagnosis ProblemIncluded w/ Primary or Other ProcedureIncluded in Global RulesDown Coding Explanation Modifier Required 3) Payment Based Denials: Inappropriate Payment AmountMaximum Benefits Paid by Primary InsRefund Request OverpaymentsWithhold Amount4) Provider Based Denials: W9 RequestPhysician / Group Info NeededNeed Physician SignatureMedical Records NeededNot Medically Necessary5) Other Denial Categories: Insurance Needs Additional Info / Re Submit ClaimNeed Copy of EOBNeed to Contact Ins Co. for further Info Bankruptcy Letter ReceivedAttorney Requesting InformationInsurance Follow Up Scenarios: Claim not on fileClaim in processClaim PaidDenied as DuplicateClaim PendedAdditional info required from ProviderAdditional info required from PatientClaim denied for PCP ReferalDenied for authorizationDenied as Dx Code InconsistentUntimely Filing DenialProvider not available with Insurance recordThird Party PricingOONClaim paid to incorrect addressClaim Offset...

3. Business Analysis and Requirements Life Cycle Management

4

(136)

The Business Analysis and Requirements Life Cycle Management ourse is aligned with the Business Analysis Body of Knowledge Guide (BABOK3), and in this course we're going to begin looking at the business analysis knowledge area Requirements Life Cycle Management. Requirements are the foundation of all your business analysis activities. If the objective of a project is to deliver solutions that best meet requirements, then you'd best keep a close eye on those requirements and the designs that address them. So let's look at what your role is in tracing and maintaining requirements and designs. Introduction to Requirements Life Cycle 1. Requirements Life Cycle Management2. Requirements Management and the BACCM TM3. Exercise: Understanding Requirements Management Trace Requirements 1. Requirements and Traceability2. Trace Requirements: Inputs and Elements3. Trace Requirements: Guidelines and Techniques 4. Trace Requirements: Stakeholders and Outputs 5. Exercise: Trace Requirements Maintain and Prioritize Requirements 1. Maintain Requirements: Elements and Guidelines2. Maintain Requirements: Techniques and Stakeholders 3. Prioritize Requirements: Inputs and Elements4. Prioritize Requirements: Guidelines and Techniques 5. Prioritize Requirements: Stakeholders and Outputs6. Exercise: Maintain and Prioritize Requirements Assess Changes and Approve Requirements 1. Assess Requirements Changes: Inputs and Elements 2. Assess Requirements Changes: Guidelines and Techniques 3. Assess Requirements Changes: Stakeholders and Outputs 4. Approve Requirements: Inputs and Elements5. Approve Requirements: Guidelines and Techniques 6. Exercise: Assess and Approve Requirements You can use this course to improve your business analysis knowledge and abilities and to obtain the certifications provided by the International Institute of Business Analysis. This course is part of the Business Analysis Certification Program which includes 14 courses. That's it! Now go ahead and push that "Take this course" button and see you on the inside!...