Revenue Cycle, Billing, and Coding

In this module, we will delve into the complexities of insurance in the revenue cycle. You will gain knowledge of different types of insurance, such as commercial insurance and federal insurance programs (e.g., Medicare and Medicaid). We will explore the insurance verification process, eligibility criteria, and common challenges in dealing with insurance providers.

The third module will focus on the fundamentals of billing and coding in the revenue cycle. You will learn about the Current Procedural Terminology (CPT) codes, International Classification of Diseases (ICD) codes, and Healthcare Common Procedure Coding System (HCPCS) codes. We will discuss the importance of accurate coding for proper reimbursement and explore coding guidelines and conventions.

The final module of the course will cover denials management, collections, estimates, and price transparency in the revenue cycle. You will understand the common reasons for claim denials and learn strategies for appealing denials and minimizing their occurrence. We will discuss effective collections processes, including patient billing and payment options. Additionally, we will explore the importance of providing cost estimates and promoting price transparency to enhance patient satisfaction and financial accountability.