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Revenue Cycle Management in Healthcare (RCM)

Dive into Revenue Cycle Management in Healthcare (RCM) with our detailed course. From pre-registration to denial management, gain mastery over key RCM processes to enhance financial health in healthcare settings. Essential for healthcare professionals seeking to optimize revenue flow.

7 STUDENTS ENROLLED

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    Learning Outcomes

    Course Overview

    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.

    Course Description 

    This course is an excellent learning opportunity for those who are passionate about the topic and who are interested in a successful career within the relevant industry. Professionals currently working in this field who wish to brush up on their knowledge and advance their careers may also enrol in this program.   

    In the Revenue Cycle Management in Healthcare (RCM) Course, you will find a number of engaging, in-depth modules that will provide you with comprehensive theoretical knowledge that will enable you to succeed in your career. As proof of your completion, you will receive a free e-certificate from Learndrive.

    Using computers, tablets, smartphones, and other internet-enabled devices, you can access the course modules at your own pace. Invest in your professional development today and learn skills that will lead to your dream job. Become a career leader by taking this course online.

    What Do You Get With The Revenue Cycle Management in Healthcare (RCM) Course?

    • Courses Materials in bite-sized format for the most accessible learning experience
    • Exams that test and consolidate your understanding 
    • Free e-certificate after passing the course
    • Flexible study time and pace

    Course Design

    Students can access the course using any internet-connected device through our online learning platform. You may study at your own pace since there are no formal deadlines or teaching schedules.

    Certification

    The learners who pass the course will receive a Learndrive Certificate as a badge of accomplishment. The e-certificate is free of charge. There is a small fee, however, if you want a hard copy of your certificate.

    Who Is This Course For?

    The course is right for you if you already work in this industry or want to make the transition. This Revenue Cycle Management in Healthcare (RCM) Course is designed to enhance your expertise and improve your CV. 

    Requirements

    Students from all backgrounds are welcome to participate in the online training. There are no requirements for participation. The only prerequisite for studying this Revenue Cycle Management in Healthcare (RCM) Course is an interest in learning and a good grasp of English, mathematics, and computer skills.

     

     

    Course Instructor

    Theolearn Academy focuses on developing online courses covering a variety of topics such as personal development, management, health & care, business, marketing, hospitality, teaching, law, etc. 

    Theolearn Academy has years of experience developing well-organised, concise, and theoretically sound online courses. The mission of this organisation is to assist individuals in gaining the theoretical knowledge needed to excel in their careers.

    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.

    Demo Certificate

    Course Curriculum

    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
    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

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    Choose Your Plan

    **Additional shipping charge will be added for international delivery outside UK
    TAKE THIS COURSE