Revenue Cycle Management
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Table of Contents
Table of Contents
This course provides educational information and does not replace professional medical advice, diagnosis, treatment, or clinical judgment.
Healthcare organizations face increasing pressure to optimize financial performance while maintaining patient satisfaction. Revenue Cycle Management (RCM) transforms fragmented administrative processes into a cohesive system that maximizes reimbursement and reduces compliance risk.
What You Will Learn
- 1 Learn the core components and workflow of the healthcare revenue cycle
- 2 Understand patient registration and scheduling best practices to minimize front-end errors
- 3 Apply insurance verification and pre-authorization procedures to prevent claim denials
- 4 Analyze medical coding systems (ICD-10, CPT, HCPCS) for accurate charge capture
- 5 Implement charge capture and claims submission processes to ensure timely reimbursement
- 6 Evaluate payment posting, denial management, and appeals workflows
- 7 Develop patient financial communication strategies to reduce bad debt
- 8 Comply with healthcare regulations including HIPAA, Stark Law, and Anti-Kickback Statute
- 9 Use revenue cycle analytics to identify performance gaps and drive improvements
- 10 Explore emerging technologies like AI and automation in revenue cycle management
What's Included
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Revenue Cycle Management