Revenue Cycle Management

Revenue Cycle is an aspect of the health care reimbursement system found in medical offices, physicians and medical specialties as well as ambulatory and hospital systems. This course covers topics such as commercial and managed care, federal insurance plans, payment methodologies and systems and includes various components of regulatory guidelines as it relates to reimbursement monitoring and reporting.

Our course offers professionals experience in determining and planning for strategic and operating efficiency and effectiveness. Introduction to the financial side of cash flow and contract management proficiencies, as well as covering accurate billing through coding, charge master, claims management and bill reconciliation processes. Attention is placed on utilizing established guidelines to comply with reimbursement and reporting requirements such as the National Correct Coding Initiative and compiling patient data to perform data quality reviews to validate code assignment and compliance with reporting such as outpatient prospective payment systems.

Our Online Degree Programs gives students the independence they need to advance in their career around a busy schedule.  The program is instructor guided with access to the course available to you 24 hours a day.

Revenue Cycle is a series of activities that connect the services rendered by the health care provider with the methods by which compensation is received.  Currently, we are offering two courses:

 

Revenue Cycle Administration

Objective:

This Continuing Education seminar is designed for professionals currently working in Health Information, Inpatient Business Office, Revenue Cycle, Admissions, and Outpatient Setting.  This continuing education unit provides concepts and practice for skills utilized within the aspect of revenue cycle.  These concepts and practice units cover learning objectives related to cost analysis, contract discrepancies, census, grown abilities, charge capture/denials, as well as coding guideline updates.  In addition, claims management and resolution summaries are provided. 

Seminar content will include the following areas:

  • Revenue Cycle Process
  • Revenue Cycle Regulations and Compliance
  • Recovery Audits
  • Medical Necessity
  • Coordination of Benefits
  • Collections
Admissions Requirements: Intended participants:  Currently employed in a Inpatient or Outpatient Healthcare setting in Health Information Technology, or other Business Office Setting as a coordinator, analyst, coder, biller charge capture, or data entry specialist.

Cost:

$1,000.00  

Included in the tuition is the seminar with faculty availability, study material, one CPAT exam fee, and one year membership to the national Association of Healthcare Administrative Management.

Outline of Topics:
  • Revenue Cycle Process
  • Revenue Cycle Regulations and Compliance
  • Recovery Audits
  • Medical Necessity
  • Coordination of Benefits
  • Collections

This seminar will help the student prepare to sit for the CPAT Exam offered through the Association of Healthcare Administrative Management.

Seminar Length:

Total Hours = 22 Hours

Revenue Cycle Process - 5.5 hours

Revenue Cycle Regulations and Compliance - 2 hours

Recovery Audits - .5 hours

Medical Necessity - 2.75 hours

Coordination of Benefits - 6 hours

Collection - 5.25 hours

FOR INFORMATION ON THE REVENUE CYCLE PROGRAMS CALL CHINETTA HALL AT (713) 425-2439
TO ENROLL IN THE REVENUE CYCLE PROGRAM CALL MARK ALBA AT (713) 425-3191
 

Next Class Start: March 25, 2013

Revenue Cycle Solutions for Directors

Objective:

This continuing education seminar provides concepts and practice for skills utilized within the aspect of revenue cycle for Team Leaders, Supervisors, Managers, and Directors across various departments within the Healthcare Finance and Health Information Technology arena. After completion of this seminar, the learner will be able to interact effectively with ancillary departments in an effort to meet forecast deadlines. The seminar program will improve revenue cycle performance through higher employee proficiency, retention and engagement.

This Continuing Education seminar is designed for professionals currently working in the following departments:

  • Patient Access
  • Financial Representatives
  • Patient Accounts
  • Compliance
  • Managed Care Operations
  • Decision Support
  • Health Information Management
  • Case Management
  • Finance

Admission Requirements:

Intended Participants: Currently employed in an Inpatient or Outpatient Healthcare setting, in Health Information Technology, or other Business Office Setting as a team lead, supervisor or manager.

Cost:

$2,200.00

Included in the tuition is the seminar with faculty availability, study material, one CRCR exam fee, and one year membership to the national Healthcare Financial Management Association.

Outline of Topics:

The seminar content will cover the following learning objectives:

  • Compliance
  • Patient Access
  • Claims Processing
  • Account Resolution
  • Cash
  • Financial Management
  • Support Departments

This seminar will help the student prepare to sit for the CRCR Certification Exam offered through the Healthcare Financial Management Association.

Seminar Length:

Total Hours = 13 Hours

Compliance - 2 hours

Patient Access - 2 hours

Claims Processing - 2.25 hours

Account Resolution - 2.25 hours

Cash - 1.50 hours

Financial Management - 1.5 hours

Support Departments - 1.5 hours