Business > Management
8 h
£34.99 Free for 2 days
Master Healthcare Revenue Cycle Management (RCM): Best Practices & Strategies
What you will learn:
- Revenue Cycle Management Fundamentals
- Best Practices in Healthcare Revenue Cycle Management
- Advanced RCM Strategies and Techniques
- Real-World Case Studies of Successful RCM Implementations
- Improving Medical Billing and Coding Processes
- Streamlining Prior Authorization Procedures
- Optimizing Credentialing Processes
- Enhancing Patient Financial Experience
- Leveraging Technology to Automate RCM Processes
- Ensuring Regulatory Compliance in Healthcare Revenue Cycle Management
Description
Transform your healthcare career with our in-depth Revenue Cycle Management (RCM) course!
Designed for practicing and aspiring healthcare professionals, this course provides a comprehensive, practical understanding of RCM processes. We delve into global best practices, drawing insights from leading healthcare organizations such as Mayo Clinic, Cleveland Clinic, and Geisinger Health System.
You'll gain practical skills and knowledge in:
- Medical billing and coding strategies
- Effective prior authorization techniques
- Streamlining credentialing processes
- Optimizing bill payments and collections
- Implementing industry-leading RCM technologies
- Improving patient financial experiences
- Analyzing key performance indicators (KPIs) to optimize performance
- Ensuring compliance with healthcare regulations
This course goes beyond theory – we use real-world case studies to demonstrate how to implement RCM excellence in practice. Learn from an instructor with extensive experience in process excellence and RCM implementation within top healthcare organizations.
What sets this course apart?
- Practical approach: Seamless integration of theory and real-world application.
- Industry insights: Learn from case studies of successful RCM implementations at top healthcare organizations.
- Expert instruction: Benefit from the knowledge and experience of a seasoned RCM professional.
- Free preview: Access several lectures to sample the course content before enrolling.
- Ongoing support: Ask questions and clarify your doubts throughout the course.
- Udemy's 30-day money-back guarantee: Risk-free learning experience.
Become a true RCM expert and significantly improve your career prospects. Enroll today!
Curriculum
Introduction
This introductory section sets the stage for the course, providing a foundational understanding of revenue cycle management and its importance in the healthcare industry. The "Introduction" lecture lays the groundwork, offering an overview of the course structure and what learners can expect.
Overview
The Overview section provides a comprehensive introduction to key RCM concepts. Lectures delve into various aspects of RCM, including detailed explanations and interactive questions to reinforce learning. "Overview I", "Overview II", and "Overview III" build upon each other, covering core principles and laying the foundation for subsequent sections.
Case Studies in Excellence
This section showcases successful RCM implementations at leading healthcare institutions – Mayo Clinic, Cleveland Clinic, and Geisinger Health System. Each case study provides an in-depth look at the strategies and practices that contributed to their success, offering valuable insights and best practices for learners. Interactive questions following each case study enable students to apply what they've learned.
RCM Excellence Success Factors
This section focuses on the critical success factors that underpin effective RCM. Multiple lectures address various key elements, including detailed explanations and opportunities for learners to test their understanding through integrated questions. These factors are examined in depth, offering a practical framework for improving RCM processes.
RCM Excellence Implementation
This practical section guides students through the process of implementing RCM excellence within healthcare organizations. The lectures focus on conducting comprehensive assessments, evaluating current processes, benchmarking against industry standards, engaging stakeholders, and more. Each lecture includes follow-up questions to solidify comprehension and engagement.
Set Clear Goals and Metrics
This section emphasizes the importance of defining clear goals and measurable metrics for RCM. Lectures address defining success metrics, aligning RCM goals with organizational objectives, and developing a robust framework for monitoring progress. Interactive questions further reinforce the learning objectives of the section.
Leverage Technology for Automation & Efficiency
The course delves into the use of technology in automating and streamlining RCM processes. Lectures cover the implementation of RCM software, utilization of artificial intelligence, and the application of predictive analytics. Interactive elements help solidify understanding of the technologies and their effective application within the RCM context.
Standardize and Streamline Front-End Processes
This section focuses on optimizing front-end RCM processes for efficiency and standardization. The lectures cover techniques for streamlining processes, ensuring consistency, and enhancing overall operational effectiveness. This section includes interactive elements designed to reinforce understanding of practical implementations.
Develop a Robust Denial Management Process
This section tackles the important area of denial management. Lectures explore the development and implementation of effective strategies to address and resolve claim denials, improving revenue capture and efficiency. Interactive questions and elements help learners actively engage with the material.
Enhance Patient Financial Experience
This section emphasizes the importance of a positive patient financial experience. Lectures explore strategies to enhance patient communication, simplify billing processes, and improve overall satisfaction. Interactive questions allow learners to apply knowledge and improve their understanding of the topic.
Monitor Key Performance Indicators
This section teaches students how to effectively monitor key performance indicators (KPIs) to measure and track the success of RCM initiatives. Lectures offer strategies for tracking progress, identifying areas for improvement, and adjusting strategies based on data analysis. Interactive components enhance understanding of KPI usage and analysis.
Foster Cross-Departmental Collaboration
This section highlights the crucial role of cross-departmental collaboration in successful RCM. Lectures explore strategies to foster effective communication and teamwork across various departments involved in the RCM process. Interactive questions test understanding of implementing and sustaining collaboration.
Adopt Lean and Six Sigma Methodologies
This section introduces lean and Six Sigma methodologies for improving RCM processes. The lectures explain the application of these methodologies within the healthcare context and provide strategies for implementing improvements. This section includes interactive components for practical application and understanding.
Ensure Regulatory Compliance and Risk Management
This section addresses regulatory compliance and risk management considerations in RCM. Lectures cover essential legal and regulatory requirements to ensure compliance and mitigate risks. Interactive elements help learners apply and understand these critical factors.
Adapt to Changing Payment Models
This section explores the challenges and opportunities presented by evolving payment models in healthcare. Lectures discuss strategies for adapting to changes and maintaining revenue cycle efficiency in the face of dynamic payment landscapes. The section offers interactive components to test comprehension and application of these strategies.
Measure and Communicate Success
This final section details how to measure and communicate the success of RCM initiatives to stakeholders. Lectures cover methods for tracking progress, reporting results, and effectively communicating the impact of improvements. Interactive elements enhance understanding and application of effective communication strategies.
Summary
This concluding section summarizes the key concepts and learnings from the entire course, providing a final review and reinforcement of the key information covered.
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