How to Optimize Your Revenue Cycle Management Process

Revenue cycle tasks and staff roles—in detail
Strategies to prevent denials and appeal when needed
Strategies to improve revenue cycle functions
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*AAPC requires a post test with a passing score
of 70% or better to receive the CEU certificate.

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Highlights

Module One: Overview of Revenue Cycle Management (RCM)

Understand the responsibilities of all team members related to revenue cycle management
Describe common challenges
How to assess your RCM program and develop SMART goals

Module Two: Denials

Understand the reason for the denial
Calculate your denial rate
Prevent denials with proven strategies
Appeals

Module Three: Strategies to improve you RCM process

Identify obstacles
Strategies for collections, coordination of benefits, insurance verification, benefit verification, coding, claims submission, and billing and collections
Measuring your progress

Description and Learning Objectives

Revenue cycle management (RCM) is the process of managing the financial aspects of healthcare delivery, from patient registration to billing and collections. RCM is imperative for ensuring the profitability and sustainability of healthcare organizations, especially in the face of rising costs, regulatory changes, and consumer expectations. In this presentation, you will learn how to optimize your RCM by:

Identifying challenges of RCM in healthcare and how to apply strategies for efficiency and accuracy in the RCM process
Understanding the responsibility of team members and how their roles influence each stage of the RCM process
Leveraging technology and data analytics to identify roadblocks and enhance RCM performance and outcomes