Revenue Cycle Management in Healthcare (RCM)

Description

Revenue Cycle Management (RCM) in Healthcare is crucial for the financial sustainability of healthcare providers. This course is meticulously designed to equip you with a comprehensive understanding and practical skills to manage and optimize the revenue cycle effectively.

Module 1: Introduction to Revenue Cycle Management (RCM) in Healthcare
Kickstart your journey with an overview of RCM. This module provides a foundational understanding of how RCM functions within the healthcare industry and its significance in maintaining financial viability.

Module 2: Pre-Registration and Insurance Verification
Dive into the critical process of pre-registration and learn the best practices for insurance verification. This module teaches you how to minimize errors and delays in the revenue cycle process, ensuring a smooth start to the patient’s financial journey.

Module 3: Medical Coding, Charge Entry, and Claim Submission
Gain expertise in the heart of RCM – medical coding and charge entry. This module covers the intricacies of accurately coding services and procedures, entering charges, and submitting claims to ensure maximum reimbursement.

Module 4: Accounts Receivable (AR) and AR Follow-Up
AR management is pivotal in RCM. Learn effective strategies for monitoring and collecting receivables, along with follow-up processes that help maintain a healthy cash flow.

Module 5: Denial Management and Reporting in RCM
Explore the strategies to manage and reduce denials, a critical aspect of RCM. This module teaches you how to analyze denial patterns and implement corrective actions. You’ll also learn how reporting plays a crucial role in identifying issues and improving overall RCM performance.

This course is ideal for healthcare administrators, finance professionals, and anyone interested in understanding the financial operations of healthcare organizations. Upon completion, you will have the skills and knowledge to contribute significantly to the effective management of the revenue cycle in healthcare settings. Enroll now and enhance your expertise in healthcare finance.

This course is CPDQE accredited, which serves as an impactful mechanism for skill enhancement. 

Continuing Professional Development (CPD) stands as a crucial, widely acknowledged method that aids individuals, organisations, and entire industries in staying current with their skills and knowledge.

CPD not only facilitates the elevation of global standards and benchmarks, aligning with the growing forces of globalisation and consumer expectations but also transforms learning into a deliberate and proactive process. It motivates professionals to uphold a consistently high level of performance and demonstrates their unwavering commitment to a specific job role or profession.

Course Curriculum