Undergraduate Certificate in Clinical Revenue Cycle Management
-- ViewingNowThe Undergraduate Certificate in Clinical Revenue Cycle Management is a vital course that equips learners with the necessary skills to manage the financial aspects of healthcare services. This certificate program is in high demand due to the increasing complexity of healthcare billing and coding.
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Here are the essential units for an Undergraduate Certificate in Clinical Revenue Cycle Management:
• Introduction to Clinical Revenue Cycle Management: This unit will cover the basics of revenue cycle management in the clinical setting, including the key players, processes, and challenges. It will also introduce the concepts of reimbursement and compliance.
• Medical Coding and Classification: This unit will focus on the fundamentals of medical coding and classification systems, such as ICD-10-CM and CPT. Students will learn how to assign codes to diagnoses and procedures, and how to use those codes to maximize reimbursement while minimizing compliance risks.
• Charge Capture and Pricing: This unit will cover the best practices for charge capture and pricing in the clinical setting. Students will learn how to ensure that all services provided are captured and billed accurately, and how to price those services appropriately to maximize revenue while remaining competitive in the market.
• Claims Submission and Processing: This unit will focus on the process of submitting and processing claims for reimbursement. Students will learn how to navigate the complexities of insurance contracts, how to create and submit clean claims, and how to handle claim rejections and denials.
• Patient Financial Services: This unit will cover the patient portion of the revenue cycle, including patient registration, eligibility and benefits verification, and payment processing. Students will learn how to optimize patient collections, how to navigate the complexities of patient financial assistance programs, and how to ensure compliance with patient privacy laws.
• Compliance and Auditing: This unit will focus on the importance of compliance and auditing in clinical revenue cycle management. Students will learn how to develop and implement compliance policies and procedures, how to conduct internal audits, and how to respond to external audits and investigations.
• Revenue Cycle Analytics and Reporting: This unit will cover the essential
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