Billing: Revenue Capture and Recognition
At the end of this course, you will be able to identify the three levels of HCPCS modifiers and identify the reason why a chargemaster must be reviewed and updated regularly.
Denials Mgt: Revenue Cycle Performance Improvement
This course introduces the idea that lasting performance improvement in the revenue cycle can only be achieved after changing the work culture. The course also describes the ambulatory payment classification (APC) system introduced by the Centers for Medicare and Medicaid Services (CMS) in 2000. It also explains the importance of correct charging in avoiding denials, overcharges, and undercharges and describes how hospitals can prevent inaccurate charging before claims are submitted to payers and how hospitals can use retrospective audits to recover lost revenue from previously paid claims.