Medical Revenue Cycle Management - The Comprehensive Guide
Viruti Satyan Shivan
This audiobook is narrated by a digital voice.
This essential guide dives deep into the intricacies of Medical Revenue Cycle Management (MRCM), offering healthcare professionals, administrators, and students a clear roadmap to mastering the financial backbone of healthcare services. In a landscape where financial health is as critical as patient health, this book stands out by providing a meticulously researched, expertly written exploration of every phase of the revenue cycle—from patient registration to the final payment of balances. Without relying on images or illustrations, we navigate through complex regulations, coding challenges, and billing practices with clarity and precision, making this complex subject accessible and actionable.
Our unique approach combines theoretical frameworks with practical, real-world applications, setting this book apart as a must-buy. We delve into innovative strategies for optimizing revenue, reducing denials, and enhancing patient satisfaction, all while maintaining compliance with evolving healthcare laws and regulations. By focusing on efficiency and effectiveness, we equip readers with the tools and insights needed to transform their revenue cycle processes. Whether you're looking to refine your current practices or build a foundation of knowledge from the ground up, this guide offers invaluable insights into achieving financial stability and success in the ever-changing world of healthcare.
Duration - 4h 38m.
Author - Viruti Satyan Shivan.
Narrator - Digital Voice Mike G.
Published Date - Monday, 20 January 2025.
Copyright - © 2024 VIRUTI SATYAN SHIVAN ©.
Location:
United States
Description:
This audiobook is narrated by a digital voice. This essential guide dives deep into the intricacies of Medical Revenue Cycle Management (MRCM), offering healthcare professionals, administrators, and students a clear roadmap to mastering the financial backbone of healthcare services. In a landscape where financial health is as critical as patient health, this book stands out by providing a meticulously researched, expertly written exploration of every phase of the revenue cycle—from patient registration to the final payment of balances. Without relying on images or illustrations, we navigate through complex regulations, coding challenges, and billing practices with clarity and precision, making this complex subject accessible and actionable. Our unique approach combines theoretical frameworks with practical, real-world applications, setting this book apart as a must-buy. We delve into innovative strategies for optimizing revenue, reducing denials, and enhancing patient satisfaction, all while maintaining compliance with evolving healthcare laws and regulations. By focusing on efficiency and effectiveness, we equip readers with the tools and insights needed to transform their revenue cycle processes. Whether you're looking to refine your current practices or build a foundation of knowledge from the ground up, this guide offers invaluable insights into achieving financial stability and success in the ever-changing world of healthcare. Duration - 4h 38m. Author - Viruti Satyan Shivan. Narrator - Digital Voice Mike G. Published Date - Monday, 20 January 2025. Copyright - © 2024 VIRUTI SATYAN SHIVAN ©.
Language:
English
Introduction
Duración:00:02:46
Chapter 1: Fundamentals of Medical Revenue Cycle Management
Duración:00:00:06
1.1 Understanding the Revenue Cycle
Duración:00:04:02
1.2 Key Components of Effective Revenue Cycle Management
Duración:00:04:41
1.3 The Role of Technology in Revenue Cycle Optimization
Duración:00:04:35
1.4 Exercise: 10 MCQs with Answers at the End
Duración:00:05:11
Chapter 2: Patient Registration and Data Collection
Duración:00:00:05
2.1 Best Practices for Patient Registration
Duración:00:04:36
2.2 Accurate Data Collection and Its Impact on Revenue
Duración:00:04:34
2.3 Patient Privacy and Compliance Considerations
Duración:00:04:38
2.4 Exercise: 10 MCQs with Answers at the End
Duración:00:04:50
Chapter 3: Insurance Verification and Authorization
Duración:00:00:05
3.1 The Importance of Insurance Verification
Duración:00:03:55
3.2 Steps for Effective Authorization Processes
Duración:00:04:32
3.3 Managing Denials for Unverified or Unauthorized Services
Duración:00:04:36
3.4 Exercise: 10 MCQs with Answers at the End
Duración:00:05:25
Chapter 4: Charge Capture and Coding
Duración:00:00:04
4.1 Essentials of Charge Capture
Duración:00:04:18
4.2 Introduction to Medical Coding: ICD-10 and CPT
Duración:00:04:12
4.3 Strategies for Accurate Coding
Duración:00:04:11
4.4 Exercise: 10 MCQs with Answers at the End
Duración:00:05:04
Chapter 5: Claim Submission and Management
Duración:00:00:04
5.1 Preparing and Submitting Claims
Duración:00:04:16
5.2 Managing Claim Denials and Rejections
Duración:00:04:25
5.3 Effective Follow-Up Strategies
Duración:00:04:22
5.4 Exercise: 10 MCQs with Answers at the End
Duración:00:04:52
Chapter 6: Payment Processing and Reconciliation
Duración:00:00:05
6.1 Understanding Payment Models in Healthcare
Duración:00:04:12
6.2 The Reconciliation Process
Duración:00:04:28
6.3 Addressing Underpayments and Overpayments
Duración:00:04:37
6.4 Exercise: 10 MCQs with Answers at the End
Duración:00:04:47
Chapter 7: Patient Billing and Collections
Duración:00:00:04
7.1 Creating Clear and Accurate Patient Statements
Duración:00:03:55
7.2 Strategies for Effective Collections
Duración:00:04:16
7.3 Handling Patient Inquiries and Disputes
Duración:00:03:59
7.4 Exercise: 10 MCQs with Answers at the End
Duración:00:05:28
Chapter 8: Denial Management and Appeals
Duración:00:00:04
8.1 Identifying Common Reasons for Denials
Duración:00:03:58
8.2 Strategies for Managing and Preventing Denials
Duración:00:04:29
8.3 The Appeals Process: A Step-by-Step Guide
Duración:00:04:09
8.4 Exercise: 10 MCQs with Answers at the End
Duración:00:05:13
Chapter 9: Compliance and Regulatory Considerations
Duración:00:00:05
9.1 Navigating Healthcare Regulations
Duración:00:04:08
9.2 Ensuring Compliance in Revenue Cycle Management
Duración:00:04:23
9.3 The Impact of the Health Insurance Portability and Accountability Act (HIPAA)
Duración:00:03:59
9.4 Exercise: 10 MCQs with Answers at the End
Duración:00:05:41
Chapter 10: Technology in Revenue Cycle Management
Duración:00:00:05
10.1 Current Technologies and Their Impact
Duración:00:03:54
10.2 Electronic Health Records (EHRs) and Revenue Cycle
Duración:00:04:04
10.3 The Future of Automation and AI in Revenue Cycle Management
Duración:00:04:25
10.4 Exercise: 10 MCQs with Answers at the End
Duración:00:05:00
Chapter 11: Quality Assurance in Revenue Cycle Management
Duración:00:00:06
11.1 Implementing Quality Assurance Measures
Duración:00:04:11
11.2 Monitoring and Reporting for Continuous Improvement
Duración:00:04:19
11.3 The Role of Training and Development
Duración:00:03:53
11.4 Exercise: 10 MCQs with Answers at the End
Duración:00:04:50
Chapter 12: Revenue Cycle Analytics and Reporting
Duración:00:00:05
12.1 Basics of Revenue Cycle Analytics
Duración:00:04:30
12.2 Key Performance Indicators (KPIs) to Monitor
Duración:00:04:24
12.3 Using Data to Drive Revenue Cycle Improvements
Duración:00:04:27
12.4 Exercise: 10 MCQs with Answers at the End
Duración:00:05:16
Chapter 13: Outsourcing Revenue Cycle Management
Duración:00:00:05
13.1 The Pros and Cons of Outsourcing
Duración:00:04:04
13.2 Selecting a Revenue Cycle Management Partner
Duración:00:04:36
13.3 Managing the Outsourced Relationship
Duración:00:04:13
13.4 Exercise: 10 MCQs with Answers at the End
Duración:00:05:16
Chapter 14: Case Studies in Revenue Cycle Management
Duración:00:00:05
14.1 Success Stories and Lessons Learned
Duración:00:04:43
14.2 Analyzing Failures: What Not to Do
Duración:00:04:29
14.3 Strategies for Turning Around Revenue Cycle Performance
Duración:00:04:25
14.4 Exercise: 10 MCQs with Answers at the End
Duración:00:05:18
Chapter 15: The Future of Medical Revenue Cycle Management
Duración:00:00:06
15.1 Emerging Trends and Innovations
Duración:00:04:18
15.2 Preparing for Changes in Healthcare Financing
Duración:00:04:08
15.3 Building a Resilient Revenue Cycle Management System
Duración:00:04:26
15.4 Exercise: 10 MCQs with Answers at the End
Duración:00:05:11
Conclusion
Duración:00:02:48