Undergraduate Certificate in Clinical Revenue Cycle Management
-- ViewingNowThe Undergraduate Certificate in Clinical Revenue Cycle Management is a crucial course designed to equip learners with the necessary skills to excel in the healthcare revenue cycle field. This certificate program focuses on teaching the intricacies of managing financial operations in healthcare organizations, ensuring learners are well-prepared to meet the growing industry demand.
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โข Introduction to Clinical Revenue Cycle Management: Understanding the basics of revenue cycle management, its importance in healthcare organizations, and the role of clinical RCM.
โข Medical Coding and Classification Systems: In-depth exploration of medical coding systems, including ICD-10-CM, CPT, and HCPCS, and their role in revenue cycle management.
โข Claims Processing and Submission: Learning the process of creating and submitting claims to insurance companies, as well as handling claim rejections and denials.
โข Patient Access and Registration: Examining the patient registration process, including data collection, insurance verification, and eligibility determination.
โข Billing and Reimbursement: Understanding the billing process, payment policies, and reimbursement methodologies.
โข Compliance and Regulations in RCM: Reviewing laws and regulations affecting revenue cycle management, such as HIPAA, False Claims Act, and Stark Law.
โข Revenue Integrity and Financial Management: Exploring financial management practices, including revenue cycle performance evaluation, revenue recognition, and financial reporting.
โข Technology in Clinical Revenue Cycle Management: Investigating the role of technology in revenue cycle management, including electronic health records (EHRs), practice management systems, and revenue cycle management software.
โข Patient Financial Responsibility and Engagement: Examining patient engagement strategies, patient financial responsibility, and payment options.
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