Learn how to improve your healthcare financial management skills for promotions or new jobs in this free online course.
Are you keen to master the intricacies of Revenue Cycle Management and propel your healthcare career? Our Comprehensive Guide to Revenue Cycle Management for Healthcare Professionals covers patient scheduling, insurance verification, billing, and rejection management to help you succeed in healthcare finance. This course was reviewed and approved by qualified subject matter expert Jherica Readus, a Revenue Management and Reimbursement Specialist.
Are you struggling to navigate the complex world of healthcare revenue cycle management (RCM)? Do inefficiencies in billing and reimbursement processes impact your practice? This course is designed to solve these challenges, providing you with the essential knowledge and tools to optimise your revenue cycle from start to finish. First, you’ll gain a deep understanding of the healthcare reimbursement landscape, navigating patient scheduling, insurance verification, and patient financial services with expert precision. You’ll master the principles of clinical documentation and medical coding systems, ensuring compliance with regulatory standards and perfecting billing processes and claims submission. Enhance your expertise in denial management, payment posting, and reconciliation while learning cutting-edge technology and innovation strategies to elevate your practice. By the end of this course, you’ll be equipped to monitor performance, conduct thorough audits, and manage risks effectively, paving the way for a successful career in RCM. The authors generated this text in part with GPT-4, OpenAI’s large-scale language-generation model. Upon generating draft language, the authors and subject matter experts reviewed, edited, and revised the text to ensure it reflected accurate expertise and met high pedagogical standards. This course content was created in partnership with Jherica Readus, a Revenue Management and Reimbursement Specialist. For more information on our subject matter expert, visit https://www.linkedin.com/in/jherica-readus/. Enrol now and learn for free!
What You Will Learn In This Free Course
- Define the critical stages of the Revenue Cycle and their significance in healthcare organisations
- Evaluate emerging trends in healthcare reimbursement and their implications
- Illustrate effective scheduling practices and the patient registration process
- Discuss how to handle insurance discrepancies, pre-authorisation, and pre-certification processes
- Describe common documentation errors and their consequences for patient care and reimbursement
- Compare different medical coding systems, including ICD-10, CPT, and HCPCS, and their applications in RCM
- Apply charge capture and charge entry techniques to ensure accurate billing practices
- Categorise common causes of claim denials and develop strategies to minimise them
- Distinguish between manual and automated payment posting methods
- Analyse key performance indicators (KPIs) to measure and improve RCM performance
- Evaluate the impact of automation and AI on RCM processes to enhance efficiency
- Identify risk management practices to mitigate potential risks in RCM processes
All Alison courses are free to enrol, study, and complete. To successfully complete this Certificate course and become an Alison Graduate, you need to achieve 80% or higher in each course assessment.
Once you have completed this Certificate course, you have the option to acquire an official Certificate, which is a great way to share your achievement with the world.
Your Alison certificate is:
- Ideal for sharing with potential employers.
- Great for your CV, professional social media profiles, and job applications.
- An indication of your commitment to continuously learn, upskill, and achieve high results.
- An incentive for you to continue empowering yourself through lifelong learning.