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.
Strategies to Prevent Claims Denials
This course defines claims denial management and explains the impact of claims denials on hospitals. It highlights the benefits to hospitals of managing claims denials effectively and describes how claims denials can be managed both before and after denials take place. The course describes types of denials and discusses key strategies for preventing and correcting some common causes of denials.
Key Performance Indicators in Revenue Cycle
This course will address Key Performance Indicators (KPIs) and benchmarking in accounts receivables. It will review the various techniques used to measure accounts receivables.
Overview of Managed Care
This course provides an overview of the state of managed care today and discusses how and why it has evolved. It also identifies major initiatives that are currently affecting managed care and will continue to do so in the future, as the U.S. continues to implement the reforms associated with the passage of the Patient Protection and Accountable Care Act (ACA) in March 2010. The course offers a solid foundation of knowledge that will provide necessary context for the more detailed information presented in subsequent courses in this series.