Revenue cycle is a good skill to learn if you want to become a revenue specialist, revenue analyst, or revenue manager. Here are the top courses to learn revenue cycle:
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1. Learn Revenue cycle healthcare management
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. Revenue Cycle and Healthcare Finance - Rev Cycle Ready
Nine out of ten healthcare administration employees wish they had learned more about revenue cycle, finance, and big data analytics during their graduate schooling. This course will prepare students with a better understanding of these topics by diving deep into RVUs, Denials, Write-Offs, AR, and the Revenue Cycle. No matter your skill level, this course can help you add more value to your organization...
3. Medical Billing Online Course Revenue Cycle Management
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...
Jobs that use Revenue Cycle
Updated December 8, 2023