Healthcare Revenue Cycle

-Introduction to Healthcare and the Revenue Cycle -Pre-Service Revenue Cycle Functions Revenue Cycle 1 (3.0 Units) This course will provide a brief introduction to the U.S. Healthcare System and how the components of the revenue cycle function across the revenue collection spectrum including hospital and ambulatory clinics. This course covers the basic healthcare finance, payers of healthcare, legal implications, key regulations, ethics, and key performance indicators. Students will learn the pre-service revenue cycle functions and will be able to identify key demographics required for...

-Time of Service/Middle Revenue Cycle -Claims Processing and Follow-up This course will cover the time of service and the components of the middle revenue cycle, which is the heart of clinical care and charge capture. Students will understand patient check- in/registration including patient’s rights & responsibilities, financial counseling, and conditions of treatment and admissions. Students will gain the ability to analyze and report on case management/utilization review, charge capture, healthcare information management, medical coding, clinical documentation improvement and claims...

Patient Pay/Customer Service -Current Topics Effecting the Revenue Cycle This course will provide students with the knowledge and skills to successfully complete advanced patient financial calculations and current topics effecting the revenue cycle to include price transparency, fraud, waste and abuse, and volume to value. This course will also train students on how to provide customer service in a healthcare setting to include being patient-centric, understanding cultural differences, language barriers, and healthcare best practices. Students will understand how customer service impacts...

Revenue cycle management is the set of financial and operational processes, utilizing the electronic health record and billing and coding software that tracks patient care episodes from scheduling and registration to final payment of a balance. Hospitals and other healthcare organizations need to have a viable and effective revenue cycle team to optimize cash receivables. The opportunity to improve healthcare revenue cycle management within the healthcare landscape is ongoing, as it is an ever-changing environment. Regardless of changes from the political climate and whether the U.S....