Revenue cycle management (RCM)

The Revenue Cycle Management Program is designed to strengthen the ability to anticipate challenges and solve difficult problems. Program participants will develop an understanding of the end-to-end functions within the revenue cycle, the interface between those functions, and the impact on the profitability of an organization.

The purpose of this course is to help health information professionals better understand and participate in revenue cycle management in their facilities. Although an understanding of healthcare financial management is a required competency in the current Commission on Accreditation of Health Informatics and Information Management Education. In an increasingly complex healthcare environment and with many healthcare facilities closing because they are unable to survive bankruptcy, it is important that all healthcare workers understand, appreciate, and participate fully in their role in the financial health of a facility.

Exploring a range of tools and resources needed to optimize revenue cycle including how to verify insurance eligibility and determine benefit levels, the different claim forms and the importance of collecting accurate information for submission, how to successfully appeal denied claims, and more. Students will also learn how to effectively communicate to patients and provide exceptional customer service.

Scientific Objectives of the course:

1_ Exploring the Key Departments in Revenue Cycle Management

Subject(s):

– Introduction to Revenue Cycle Management.

-Revenue Cycle Management Process Flow.

2_To describe how coding affect the revenue that coming from health insurance

Subject(s):

Monitoring Coding Quality.

Completion of Services and Medical Coding.

3_To manage health care revenue cycle

Subject(s):

-Claims Management.

-Reimbursement and Contract Management.

-Denial Management.