Month 17: Healthcare Revenue Cycle Management

Month 17: Healthcare Revenue Cycle Management

Week 1: Introduction to Healthcare Revenue Cycle Management

  • Overview of healthcare revenue cycle management and its impact on healthcare organizations
  • Understanding healthcare revenue cycle management stakeholders, including healthcare providers, payers, and regulators
  • Introduction to healthcare revenue cycle management development and implementation processes

Week 2: Healthcare Billing and Coding

  • Understanding healthcare billing and coding frameworks, including medical coding and billing practices
  • Introduction to healthcare billing and coding tools, including coding manuals and software
  • Overview of healthcare billing and coding implementation and monitoring techniques, including performance measurement and feedback

Week 3: Healthcare Claims Processing

  • Understanding healthcare claims processing frameworks, including claims submission and adjudication
  • Introduction to healthcare claims processing tools, including claim management software and billing systems
  • Overview of healthcare claims processing implementation and monitoring techniques, including performance measurement and quality control

Week 4: Healthcare Revenue Cycle Management in Practice

  • Introduction to healthcare revenue cycle management case studies
  • Understanding healthcare revenue cycle management success factors, including leadership and team dynamics
  • Overview of healthcare revenue cycle management challenges, including regulatory compliance and stakeholder engagement