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Revenue Cycle Management in Healthcare (RCM)
Master Revenue Cycle Management (RCM) in Healthcare with our focused course. From pre-registration to denial management, gain essential skills to optimise revenue flow and enhance financial health in healthcare settings.
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Nitty Gritty
- This Course includes real world setup simulation.
- You will gain an understanding of the 16 steps involved in Revenue Cycle Management in Healthcare.
- This course comes with free PDF Certificate.
Last audited and Updated on : September 2025
Learning Outcome
- Understand the key stages and processes involved in managing the revenue cycle in healthcare organisations.
- Recognize the importance of pre-registration and insurance verification for ensuring accurate patient data and timely billing.
- Gain proficiency in medical coding, charge entry, and claim submission to ensure accurate and prompt reimbursement.
- Develop the skills necessary to track and manage accounts receivable, reducing outstanding balances and ensuring cash flow.
- Learn effective strategies for denial management, improving claim acceptance rates and optimising reimbursement processes.
- Understand the significance of reporting in the revenue cycle and how it contributes to improved revenue management.
- Explore the financial and operational aspects of healthcare reimbursement and their impact on revenue cycle efficiency.
- Apply industry standards and best practices to optimise billing practices and reduce the risk of errors.
- Develop the ability to manage and resolve claim denials, ensuring that all claims are processed correctly.
- Enhance your understanding of healthcare revenue cycle management to contribute to the financial health of healthcare organisations.
Course Overview
The Revenue Cycle Management in Healthcare (RCM) course provides in-depth knowledge of the critical processes involved in managing revenue within healthcare organisations.
This comprehensive course covers all stages of the revenue cycle, beginning with an Introduction to RCM and its importance in the healthcare industry. It moves on to cover essential topics like Pre-Registration and Insurance Verification, where you will learn how accurate patient information impacts revenue.
The course then delves into Medical Coding, Charge Entry, and Claim Submission, where you’ll explore how accurate coding and claim submissions lead to timely reimbursements. Accounts Receivable (AR) and AR Follow-Up will teach you how to track and manage outstanding balances. In the Denial Management and Reporting module, you will understand how to handle claim denials and improve reimbursement rates.
The course also includes valuable Handouts for further reference and offers the option to Order Transcripts for your records. Whether you’re new to healthcare administration or looking to enhance your skills, this course will provide you with the practical tools and knowledge to efficiently manage the revenue cycle and contribute to the financial health of a healthcare organisation.
Who This Course Is For:
- Healthcare administrators
- Medical coders
- Billing specialists
- Healthcare finance professionals
- Revenue cycle managers
- Insurance verification staff
- Healthcare consultants
- Students pursuing healthcare management careers
Requirements:
- No prior healthcare experience required.
- Basic understanding of healthcare terminology is recommended.
- Familiarity with Microsoft Excel or an equivalent is helpful but not necessary.
Course Instructor
Learndrive Courses
Learndrive is a UK-based online learning provider committed to delivering high-quality, industry-relevant training designed to support learners in achieving their academic, professional, and personal development goals. With a growing catalogue of courses spanning compliance, business, healthcare, finance, safety, and more, Learndrive ensures that its content remains current, practical, and aligned with market demand.
What sets Learndrive apart is its learner-centric approach to education. Each course is carefully designed to promote deep understanding and long-term retention without cognitive overload. Courses feature interactive video and audio modules grounded in sound instructional design principles and backed by evidence-based learning methodologies.
Behind Learndrive is a team of seasoned instructional designers with extensive expertise in curriculum development, lesson planning, and eLearning. Their mission is not merely to deliver content, but to craft an engaging and effective learning experience that transforms knowledge into applied skills.
Whether you’re upskilling individually, training a team, or pursuing professional development, Learndrive offers accessible, flexible, and expertly designed courses to help you achieve meaningful progress.
Accreditation
This course is accredited by CPDQE. The demand for professionals to engage in Continuing Professional Development is escalating, irrespective of the industry, career stage, or job function. CPD serves as an impactful mechanism for skill enhancement, maintaining the relevance of academic credentials, and strategically advancing one’s career.
This CPDQE Certified Course will ensure that you have obtained the required CPD trainings for your professional development.
What Students say about us
The courses on the website are well designed, very clear and you can learn a lot of useful skills from them. A very
Enjoying the course at my pace, repeating what I did not understand and learning
Frequently Asked Questions
Everything you need to now about he product billing.
To purchase a course, simply select the course you want, choose your plan from the top right side, and click on the ‘Take this course’ button to initiate the checkout process. You will receive access as soon as the payment is processed.
We accept various payment methods, including credit/debit cards, PayPal, and bank transfer. If you don’t have a card or paypal, contact us for alternative payment methods.
If you’re not satisfied with our course, you can request a refund within 14 days of purchase. We follow a no-questions-asked refund policy, and you will receive a full refund.
Yes, upon successful completion of the course and exam (if applicable), you will receive a free digital certificate that can be downloaded and printed.
Yes, our courses are CPDQE accredited. CPDQE is an independent body that accredits courses and events for continuous professional development, ensuring they meet high-quality standards.
You can verify your certificate by visiting the Learndrive certificate verification page and entering your certification code. This will confirm the authenticity of your certificate.
To redeem your voucher, first visit the voucher redemption page. Enter your personal details and paste the voucher code into the designated field (do not type the code manually). After that, click the “Send” button. You will receive your login details via the email address you provided. Once you have received them, log in to our website and access your course from your dashboard.
Course Curriculum
| A Quick Rundown to the Course | |||
| A Quick Rundown to The Course | 00:01:00 | ||
| Module 1 Introduction to Revenue Cycle Management (RCM) in Healthcare | |||
| Introduction to Revenue Cycle Management (RCM) in Healthcare | 00:03:00 | ||
| Importance of RCM in Healthcare | 00:02:00 | ||
| Steps Involved in Revenue Cycle Management | 00:06:00 | ||
| Basic Knowledge Required to Become an Expert in RCM | 00:02:00 | ||
| Module 2 Pre-Registration and Insurance Verification | |||
| Pre-Registration in RCM Learning Outcome | 00:01:00 | ||
| Roles of Pre-Registration In RCM | 00:03:00 | ||
| Pre-registration Requirements | 00:01:00 | ||
| Streamlining Patient Onboarding | 00:01:00 | ||
| The Benefits of the Pre-registration Process | 00:02:00 | ||
| What is Insurance Verification in RCM | 00:03:00 | ||
| Methods of Insurance Verification | 00:04:00 | ||
| The Insurance Verification Process | 00:02:00 | ||
| Module 3 Medical Coding, Charge Entry and Claim Submission | |||
| Medical Coding, Charge Entry and Claim Submission_ Learning Outcome | 00:06:00 | ||
| Medical Coding Standards | 00:06:00 | ||
| Importance of Medical Coding in Healthcare | 00:02:00 | ||
| Benefits of Medical Coding | 00:03:00 | ||
| What is Charge Entry | 00:04:00 | ||
| The Charge Entry Process | 00:05:00 | ||
| What is Claim Submission | 00:03:00 | ||
| Clean Claim Submission Process | 00:04:00 | ||
| What Happens After a Claim Submission | 00:02:00 | ||
| Care for a Feedback | 00:01:00 | ||
| Keep it Up | |||
| Keep it Up | 00:00:10 | ||
| Module 4 Accounts Receivable (AR) and AR Follow-Up | |||
| Accounts Receivable AR and AR Follow Up_ Learning Outcome | 00:02:00 | ||
| Importance of AR in RCM | 00:01:00 | ||
| AR Benchmark | 00:02:00 | ||
| The AR Process | 00:02:00 | ||
| Challenges of Account Receivable in RCM | 00:04:00 | ||
| Reducing Days in AR | 00:05:00 | ||
| Best Practices for Managing Accounts Receivable | 00:05:00 | ||
| Automate Your AR Workflow | 00:05:00 | ||
| Module 5 Denial Management and Reporting in RCM | |||
| Denial Management and Reporting in RCM – Learning Outcome | 00:03:00 | ||
| What Are the Types of Denials | 00:03:00 | ||
| The Denial Management Process | 00:05:00 | ||
| Benefits of Denial Management in RCM | 00:02:00 | ||
| Challenges Involving Denial Management | 00:02:00 | ||
| Best Practices and Strategies | 00:03:00 | ||
| The Roles of Reporting in RCM | 00:04:00 | ||
| The Metrics of Reporting | 00:03:00 | ||
| Continually Improving the Overall RCM Process Through Feedback | 00:07:00 | ||
| Handouts | |||
| Introduction to Revenue Cycle Management (RCM) in Healthcare | 00:15:00 | ||
| Pre-Registration and Insurance Verification | 00:15:00 | ||
| Medical Coding, Charge Entry and Claim Submission | 00:15:00 | ||
| Accounts Receivable (AR) and AR Follow-Up | 00:15:00 | ||
| Denial Management and Reporting in RCM | 00:15:00 | ||
| Please take a moment to share your thought | |||
| Please take a moment to share your thought | 00:00:28 | ||
| Order Transcript | |||
| Order Your Transcript | 00:01:00 | ||
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