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
Duration:00:02:46
Chapter 1: Fundamentals of Medical Revenue Cycle Management
Duration:00:00:06
1.1 Understanding the Revenue Cycle
Duration:00:04:02
1.2 Key Components of Effective Revenue Cycle Management
Duration:00:04:41
1.3 The Role of Technology in Revenue Cycle Optimization
Duration:00:04:35
1.4 Exercise: 10 MCQs with Answers at the End
Duration:00:05:11
Chapter 2: Patient Registration and Data Collection
Duration:00:00:05
2.1 Best Practices for Patient Registration
Duration:00:04:36
2.2 Accurate Data Collection and Its Impact on Revenue
Duration:00:04:34
2.3 Patient Privacy and Compliance Considerations
Duration:00:04:38
2.4 Exercise: 10 MCQs with Answers at the End
Duration:00:04:50
Chapter 3: Insurance Verification and Authorization
Duration:00:00:05
3.1 The Importance of Insurance Verification
Duration:00:03:55
3.2 Steps for Effective Authorization Processes
Duration:00:04:32
3.3 Managing Denials for Unverified or Unauthorized Services
Duration:00:04:36
3.4 Exercise: 10 MCQs with Answers at the End
Duration:00:05:25
Chapter 4: Charge Capture and Coding
Duration:00:00:04
4.1 Essentials of Charge Capture
Duration:00:04:18
4.2 Introduction to Medical Coding: ICD-10 and CPT
Duration:00:04:12
4.3 Strategies for Accurate Coding
Duration:00:04:11
4.4 Exercise: 10 MCQs with Answers at the End
Duration:00:05:04
Chapter 5: Claim Submission and Management
Duration:00:00:04
5.1 Preparing and Submitting Claims
Duration:00:04:16
5.2 Managing Claim Denials and Rejections
Duration:00:04:25
5.3 Effective Follow-Up Strategies
Duration:00:04:22
5.4 Exercise: 10 MCQs with Answers at the End
Duration:00:04:52
Chapter 6: Payment Processing and Reconciliation
Duration:00:00:05
6.1 Understanding Payment Models in Healthcare
Duration:00:04:12
6.2 The Reconciliation Process
Duration:00:04:28
6.3 Addressing Underpayments and Overpayments
Duration:00:04:37
6.4 Exercise: 10 MCQs with Answers at the End
Duration:00:04:47
Chapter 7: Patient Billing and Collections
Duration:00:00:04
7.1 Creating Clear and Accurate Patient Statements
Duration:00:03:55
7.2 Strategies for Effective Collections
Duration:00:04:16
7.3 Handling Patient Inquiries and Disputes
Duration:00:03:59
7.4 Exercise: 10 MCQs with Answers at the End
Duration:00:05:28
Chapter 8: Denial Management and Appeals
Duration:00:00:04
8.1 Identifying Common Reasons for Denials
Duration:00:03:58
8.2 Strategies for Managing and Preventing Denials
Duration:00:04:29
8.3 The Appeals Process: A Step-by-Step Guide
Duration:00:04:09
8.4 Exercise: 10 MCQs with Answers at the End
Duration:00:05:13
Chapter 9: Compliance and Regulatory Considerations
Duration:00:00:05
9.1 Navigating Healthcare Regulations
Duration:00:04:08
9.2 Ensuring Compliance in Revenue Cycle Management
Duration:00:04:23
9.3 The Impact of the Health Insurance Portability and Accountability Act (HIPAA)
Duration:00:03:59
9.4 Exercise: 10 MCQs with Answers at the End
Duration:00:05:41
Chapter 10: Technology in Revenue Cycle Management
Duration:00:00:05
10.1 Current Technologies and Their Impact
Duration:00:03:54
10.2 Electronic Health Records (EHRs) and Revenue Cycle
Duration:00:04:04
10.3 The Future of Automation and AI in Revenue Cycle Management
Duration:00:04:25
10.4 Exercise: 10 MCQs with Answers at the End
Duration:00:05:00
Chapter 11: Quality Assurance in Revenue Cycle Management
Duration:00:00:06
11.1 Implementing Quality Assurance Measures
Duration:00:04:11
11.2 Monitoring and Reporting for Continuous Improvement
Duration:00:04:19
11.3 The Role of Training and Development
Duration:00:03:53
11.4 Exercise: 10 MCQs with Answers at the End
Duration:00:04:50
Chapter 12: Revenue Cycle Analytics and Reporting
Duration:00:00:05
12.1 Basics of Revenue Cycle Analytics
Duration:00:04:30
12.2 Key Performance Indicators (KPIs) to Monitor
Duration:00:04:24
12.3 Using Data to Drive Revenue Cycle Improvements
Duration:00:04:27
12.4 Exercise: 10 MCQs with Answers at the End
Duration:00:05:16
Chapter 13: Outsourcing Revenue Cycle Management
Duration:00:00:05
13.1 The Pros and Cons of Outsourcing
Duration:00:04:04
13.2 Selecting a Revenue Cycle Management Partner
Duration:00:04:36
13.3 Managing the Outsourced Relationship
Duration:00:04:13
13.4 Exercise: 10 MCQs with Answers at the End
Duration:00:05:16
Chapter 14: Case Studies in Revenue Cycle Management
Duration:00:00:05
14.1 Success Stories and Lessons Learned
Duration:00:04:43
14.2 Analyzing Failures: What Not to Do
Duration:00:04:29
14.3 Strategies for Turning Around Revenue Cycle Performance
Duration:00:04:25
14.4 Exercise: 10 MCQs with Answers at the End
Duration:00:05:18
Chapter 15: The Future of Medical Revenue Cycle Management
Duration:00:00:06
15.1 Emerging Trends and Innovations
Duration:00:04:18
15.2 Preparing for Changes in Healthcare Financing
Duration:00:04:08
15.3 Building a Resilient Revenue Cycle Management System
Duration:00:04:26
15.4 Exercise: 10 MCQs with Answers at the End
Duration:00:05:11
Conclusion
Duration:00:02:48