Learning Outcomes

In this free course, you will learn how to:

• Define the critical stages of the Revenue Cycle and their significance in healthcare organisations
• Evaluate emerging trends in healthcare reimbursement and their implications
• Illustrate effective scheduling practices and the patient registration process
• Discuss how to handle insurance discrepancies, pre-authorisation, and pre-certification processes
• Describe common documentation errors and their consequences for patient care and reimbursement
• Compare different medical coding systems, including ICD-10, CPT, and HCPCS, and their applications in RCM
• Apply charge capture and charge entry techniques to ensure accurate billing practices
• Categorise common causes of claim denials and develop strategies to minimise them
• Distinguish between manual and automated payment posting methods
• Analyse key performance indicators (KPIs) to measure and improve RCM performance
• Evaluate the impact of automation and AI on RCM processes to enhance efficiency
• Identify risk management practices to mitigate potential risks in RCM processes