Managing financial complexity: Synchronizing revenue cycle and finance teams
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.
The UB-04 Billing Form: Form Locators 42 through 81
This course explains how to complete FL 42-81 of the UB-04 billing form. The codes needed to fill in these data areas are described. The course covers the use of this form for all payers, including Medicare, Medicaid, and commercial payers.
Estimated course completion time: 1 hour and 30 minutes
We also offer the UB-04 Billing Form: Form Locators 1 through 41 here.
Health Information Management (HIM) and Coding
At the end of this course, you will be able to identify the responsibility of Health Information Management (HIM) in the revenue cycle.