Revenue Cycle Management (Rcm) In Medical Billing 2024

Pre Registration | Insurance Verification | Charge Entry | Claim Submission | A/R | Denial Management | Reporting (RCM)

What you'll learn

You will gain an understanding of the 16 steps involved in Revenue Cycle Management in Healthcare.

You’ll learn how to explain and clear up financial transactions in medical billing, including pre-registration and insurance verification.

You will Learn what makes up a high performance pre-registration unit and what information is needed during patient registration.

You will discover how to verify a patient's insurance coverage and the financial responsibility of the patient in medical billing.

You’ll learn about the three categories of CPT along with an overview of ICD-10-CM and HCPS.

You will discover the definition, five step process, and best practices for charging in medical billing.

You will learn what is included in a medical claim, how to submit a claim in 4 steps, and what happens after submission.

You’ll Know about the KPIs that needs to be tracked to maintain healthy accounts in medical billing.

You will learn how to improve the efficiency of your A/R process by automation.

You will discover the six steps of an effective denial management process, master best practices, and devise strategies to effectively manage denials.

you will actively engage with supplemental materials, course notes, and quizzes in each section of thisto measure and enhance your understanding in RCM.

You'll utilize the RCM Course audiobook provided in the resource section of each unit to deepen your understanding and complement your learning experience.

You will receive tutor support & communicate with tutor through inbox.

You will obtain a Certificate of Completion in Revenue Cycle Management (RCM) in Medical Billing 2024।

Requirements

Basic computer literacy and strong organizational skills are necessary to manage complex billing cycles and adhere to deadlines.

Open to all with no prior experience in medical billing or RCM; ideal for beginners eager to explore the field.

Description

Do you know that you can help health care organizations identify inefficiencies, optimize processes, reduce denials, and increase revenues? The key to all these things is to master Revenue Cycle Management (RCM).Our Accredited Revenue Cycle Management Course walks you through all the steps in revenue cycle management. Revenue cycle management is a way for healthcare providers to manage their administrative and clinical functions. With proper RCM, care providers can maximize their claim reimbursements, improve their medical billing process and increase their patient service revenue.This course teaches you the 16 steps to revenue cycle management for effective medical billing. We'll teach you everything you need to know about pre-registration and insurance verification. You will also get a basic understanding of medical coding, charge entry and claim submission.In addition, you'll learn about account receivable, denial management, and medical billing reporting best practices. If you are looking for a quick and effective guide to revenue cycle management, then this course may be the one for you.Don't miss this chance to become a revenue cycle management expert. Earn an accredited certificate and enjoy lifetime access by enrolling today.As a side note, this course is now fully accredited by the CPD! The certificate with the accredited logo can be obtained upon request. In any case, you will receive your official Udemy certificate of completion (since it is available for download immediately after the final lecture).This course comes with the following Sections:Introduction to Revenue Cycle Management (RCM) in Healthcare : You will learn the basics of revenue cycle management in medical billing including the steps involved and knowledge requirement to become an expert in RCM.Pre-Registration and Insurance Verification: We will show you how to explain and clarify financial transactions, including the steps involved in the pre-registration and insurance verification process.Medical Coding, Charge Entry and Claim Submission: This section will teach you medical coding standards and systems, charge entry and claim submission to ensure accurate medical billing, reimbursement, and financial operations.Accounts Receivable (A/R) and A/R Follow-up : We will cover accounts receivable (A/R) process, best practices and challenges in medical billing. You will also learn how to reduce A/R days and automate process from this RCM course.Denial Management and Reporting in RCM: You will learn the strategic process of analysing, correcting, and preventing claim denials. We will also teach revenue reporting process metrics in revenue cycle management (RCM).

Overview

Section 1: Introduction to Revenue Cycle Management (RCM) in Healthcare

Lecture 1 1.1 Overview of Revenue Cycle Management

Lecture 2 1.2 The Importance of RCM in Healthcare

Lecture 3 1.3 Steps Involved in Revenue Cycle Management

Lecture 4 1.4 Basic Knowledge Required to Become an Expert in RCM

Section 2: Pre-Registration and Insurance Verification

Lecture 5 2.1 Pre-Registration in RCM

Lecture 6 2.2 The Role of Pre-Registration in RCM

Lecture 7 2.3 Pre-registration requirements

Lecture 8 2.4 Streamlining Patient Onboarding

Lecture 9 2.5 The Benefits o Pre-registration Process

Lecture 10 2.6 What is Insurance Verification

Lecture 11 2.7 Methods of Insurance Verification

Lecture 12 2.8 The Insurance Verification Process

Section 3: Medical Coding, Charge Entry and Claim Submission

Lecture 13 3.2 Medical Coding Standards

Lecture 14 3.3 Importance of Medical Coding in Healthcare

Lecture 15 3.4 Benefits of Medical Coding

Lecture 16 3.5 What is Charge Entry

Lecture 17 3.6 The Process of Charge Entry

Lecture 18 3.7 What is Claim Submission

Lecture 19 3.8 Clean Claim Submission Process

Lecture 20 3.9 What Happens After a Claim Submission

Section 4: Accounts Receivable (A/R) and A/R Follow-up

Lecture 21 4.2 Important of A/R in RCM

Lecture 22 4.3 A/R Benchmark

Lecture 23 4.4 Understanding the A/R Process

Lecture 24 4.5 The Challenges of A/R in RCM

Lecture 25 4.6 Reducing A/R Days

Lecture 26 4.7 Best Practices for Managing Accounts Receivable

Lecture 27 4.8 Automate Your A/R Workflow

Section 5: Denial Management and Reporting in RCM

Lecture 28 5.2 Types of Denials

Lecture 29 5.3 The Denial Management Process

Lecture 30 5.4 The Benefits of Denial Management in RCM

Lecture 31 5.5 Challenges Involving Denial Management

Lecture 32 5.6 Best Practices and Strategies

Lecture 33 5.7 The Role of Reporting in Revenue Cycle Management

Lecture 34 5.8 The Metrics of Reporting

Lecture 35 5.9 Improving RCM Process Through a Feedback Cycle

RCM specialists and medical billing experts aiming to update their skills with the latest practices and technologies in the field.,Healthcare professionals seeking to expand their knowledge in revenue cycle management and enhance their skills in medical billing.,Finance and accounting professionals in the healthcare sector looking to deepen their understanding of medical billing processes.,Health administrators and managers responsible for overseeing the financial operations of healthcare facilities.,Healthcare students and recent graduates aiming to establish a career in medical billing or RCM.,Individuals aspiring to work in hospitals, medical billing companies, or any healthcare facility, seeking a comprehensive understanding of RCM.,Career changers or individuals from non-medical backgrounds who have a keen interest in the healthcare industry, particularly in the financial and billing aspects.