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所在平台: Udemy |
课程主页: https://www.udemy.com/course/revenue-cycle-management-medical-billing-course/
课程评论：没有评论
课程名称：初学者的收入周期管理与医疗账单 概述：您想在医疗账单和收入周期管理（RCM）方面打下坚实的基础吗？本课程是您全面掌握RCM与医疗账单基础的指导，即使您是从零开始。在这个初学者友好的课程中，您将： - 深入了解医疗保健系统：学习美国医疗保健系统的运作方式、健康保险的重要性以及RCM对顺利运营的必要性。 - 区分RCM与医疗账单：发现这两个医疗财务重要方面的关键区别及其如何协同工作。 - 熟悉保险基础：了解不同的保险计划（包括医疗保险、医疗补助和私人保险）如何影响账单流程。 - 验证患者的资格和福利：学习验证保险资格、福利以及理解转诊要求的逐步流程。 - 掌握医疗编码基础：掌握ICD-10、CPT代码和修饰符，并理解准确编码如何确保正确报销。 - 熟悉索赔创建和提交流程：学习如何填写索赔表格、使用实践管理系统以及通过清算所提交索赔。 - 管理应收账款（AR）：理解AR跟进的关键方法，包括老龄化分类和高效收款的最佳实践。 - 掌握拒绝管理和申诉：学习处理索赔拒绝、拒绝的步骤以及如何提交有效的申诉请求。 - 理解支付处理：深入了解支付记录、EOB、ERA和EFT的流程，以确保及时准确的付款。 课程结束时，您将具备在任何医疗环境中自信管理收入周期所需的知识和技能。
Are you looking to build a solid foundation in Medical billing and revenue cycle management (RCM)? This course is your comprehensive guide to mastering the essentials of RCM and medical billing, even if you're starting from scratch.In this beginner-friendly course, you'll:Gain a deep understanding of the healthcare system: Learn how the U.S. healthcare system operates, the importance of health insurance, and why RCM is essential for smooth operations.Distinguish between RCM and medical billing: Discover the key differences between these two vital aspects of healthcare finance and how they work together.Get familiar with insurance basics: Understand how different insurance plans, including Medicare, Medicaid, and private insurance, impact the billing process.Verify patient eligibility and benefits: Learn the step-by-step process of verifying insurance eligibility, benefits, and understanding referral requirements.Grasp medical coding essentials: Master ICD-10, CPT codes, and modifiers, and understand how accurate coding ensures proper reimbursement.Navigate the claim creation and submission process: Learn how to complete claim forms, work with practice management systems, and submit claims through clearinghouses.Manage Accounts Receivable (AR): Understand the key methods for AR follow-up, including aging buckets and best practices for efficient collections.Master denial management and appeals: Learn the steps to handle claim denials, rejections, and how to submit effective appeal requests.Understand payment processing: Dive into the process of payment posting, EOBs, ERA, and EFT to ensure timely and accurate payments.By the end of this course, you'll be equipped with the knowledge and skills needed to confidently manage the revenue cycle in any healthcare setting.
