| Advance Directives and Bedside Registration |
In this course we will cover the purpose of advance directives, list the general types of advance directives and explain what each covers, identify how to explain advance directives to the patient, and differentiate between bedside registration and traditional registration in terms of similarities and differences. |
0.5 |
|
| Basic Billing Rules and Payment Methodologies |
Learn the basic billing rules for various healthcare providers as well as their payment methodologies. Develop knowledge about billing and payment processes for various healthcare providers including rural health clinics, hospice care and skilled nursing facilities. |
1 |
|
| An Introduction to Contract Management |
Learn the basics of managed care contracting, including criteria-based contracting and how to monitor contract compliance. |
1.5 |
|
| Cost Analysis and Management |
This course explains how cost accounting helps organizations accurately predict the cost of providing services. It presents an overview of activity-based costing and describes how to develop and analyze cost information by product line. In addition, the course describes methods and benefits of developing a standard costing system, as well as variable and fixed costs and presents four types of cost behaviors. The course also includes the basic concepts of price variance, volume variance and efficiency variance. |
0.75 |
|
| Cost Effectiveness of Health: An Introduction |
This course will provide an overview of Cost Effectiveness of Health (CEoH) – the intersection of lower costs and better outcomes. By learning the impacts of CEoH you will understand how it can improve health not only for individuals but also for populations, while reducing unnecessary healthcare spending and directing health-related spending most effectively. |
0.75 |
|
| Fundamentals of Insurance Verification |
This course highlights the various types of health insurance that your patients may present at registration. We’ll review the fundamentals of Medicare, Medicaid, and third-party liability plans along with the differences in commercial and managed care plans. You’ll learn how verifying a patient’s insurance eligibility and benefits affect the coordination of benefits process, which determines the primary payer and secondary payer on a claim. |
1 |
|
| 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. |
2 |
|
| Health Plans: An Overview |
In this course we will address the basic billing rules for major health plans, including an overview of basic billing features and benefits, types of billing rules, and minor claim payers and plans. |
0.5 |
|
| Key Performance Indicators in Revenue Cycle |
Learn about the key performance indicators (KPIs) and benchmarking that can raise the level of accounts receivable department performance. Understand techniques to measure accounts receivable, including discharge not final billed and the “suspense” period. |
0.5 |
|
| Managed Care Reimbursement Methodologies |
This course discusses financial management, the central thread that interconnects the various elements of managed care. It explains various reimbursement methodologies commonly used in managed care and the underlying assumptions and risk management funding mechanisms that are responsible for these reimbursement methodologies. This course describes basic and advanced reimbursement methodologies used for hospital services and basic reimbursement methodologies used for physicians and other professionals. |
1.25 |
|
| Patient Scheduling Basics |
In this course we will address scheduling processes, including patient identification, requested service, medical necessity screening, Medicare Advance Beneficiary Notice of Noncoverage processing, patient instructions, scheduler instructions and order requirements. |
0.5 |
|
| Pre-Registration and Insurance Verification |
In this course we will address the pre-registration purpose and process, information collected during pre-registration, and consequences that an organization may experience due to inaccurate or incorrect patient information. |
0.5 |
|
| 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. |
1 |
|
| Strategies to Prevent Claims Denials |
Complimentary access for one year.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. |
1 |
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