Learning Outcomes

Revenue Cycle Management (RCM) Overview

Registration and Patient Onboarding

Medical Coding in Healthcare

Accounts Receivable in RCM

Denial Management and Reporting

Lesson Summary

In this module, gain a detailed understanding of Revenue Cycle Management (RCM) in healthcare. The lessons guide you through the applicability, importance, and functions of RCM. You will also learn about all the steps of the RCM process and explore the procedures and practices applied to manage it.

Revenue Cycle Management (RCM) in Healthcare - Course Assessment

In this free online course, explore the processes and procedures for Revenue Cycle Management (RCM) in healthcare.

Revenue Cycle Management (RCM) in Healthcare

This course elaborates on the various components of Revenue Cycle Management (RCM) in healthcare. The course content covers the components of the whole cycle starting from registration, appointment, scheduling, and the final payment in a healthcare ecosystem. The course also explores the concept of denial management in RCM as well as the best practices for managing accounts receivable. Enroll in this course to enrich your understanding of RCM.

Overview of Medical Coding and Billing

Accurate Coding and Billing

Terminology, Concepts and the Coding System

This module provides an overview of medical coding and billing and the importance of accurate coding and billing. It then gives a brief synopsis of key terminology and concepts and introduces the coding systems.

Basic Anatomy and Physiology

Vital Networks in the Body

Intricacies of the Human Body's Systems

This module outlines some key anatomy and physiology terms and conditions that are imperative for coders and billers to know and understand to make their ability to work in this field effortlessly.

Common Medical Terms and Abbreviations

Medical Reports and Documentation

Pharmacokinetics and Toxicology

This module discusses the common medical terms and abbreviations that are essential for medical coding and billing. You will learn the importance of medical reports and documentation and the relevance of pharmacokinetics and toxicology.

Current Procedural Terminology (CPT) Structure and Guidelines

Evaluation and Management (E&M) Coding

CPT Category II and III Coding

This module explains the use of CPT coding and its various categories. CPT codes are used in the US. AMA, the American Medical Association, owns the rights to the CPT coding system and has filed CPT as a trademark.

Introduction to Healthcare Common Procedure Coding System

HCPCS Structure and Guidelines

Coding for DME and Unlisted Codes

This module looks at the Healthcare Common Procedure Coding System, commonly known as HCPCS or 'hicks-picks.' This coding system was also developed in the US for the same reason the CPT codes were designed; for reporting medical procedures and services.

Diploma in Medical Coding and Billing - Assessment 1

In this module you will find questions relating to the content in the initial section of the course. These will help you review the material you have learnt thus far.

Introduction to ICD, 10th Revision (ICD-10)

ICD-10 Code Structure

ICD-10 Code Guidelines

In this module you will be introduced to the ICD-10 codes which are widely used in the USA. You will also explore the ICD-11 codes which are for international use.

Overview of Reimbursement Methodologies

Understanding Reimbursement Systems

Reimbursement Rules and Regulations

In this module you will learn about different reimbursement methodologies and billing systems, starting with fee-for-service systems which emphasise quantity of care, and managed care contracts where the focus is quality of care. We will explore healthcare provision in schemes like Medicare and Medicaid in the USA, along with rules and regulations.

Introduction to Medical Billing

Claim forms for Institutional Billers (837I /CMS-1450/ UB-04)

Claim forms for Professional Medical Billers (CMS 1500)

Itemised Bills, Managed Care Claims and Denial of Claims

Master the fundamentals of filling the mostly widely used forms for medical insurance claims. You will learn which common errors to avoid, how to process claims in a timely manner and become familiar with the layout of forms used by medical billers in institutions and those in independent practices.

Importance of Compliance in Coding and Billing

Healthcare Fraud and Abuse Laws

Ethics in Medical Coding and Billing

Auditing and Monitoring for Compliance

This module describes the core issues in achieving compliance with laws like America's False Claims Act, HIPAA and the Stark Law, which aim to prevent fraud and protect patient confidentiality.  We will discuss situations where medical billers and coders may feel pressure to miscode and the importance of monitoring and audits for compliance.

Diploma in Medical Coding and Billing - Assessment 2

In this module you will find questions relating to the content in the second section of the course. These will help you review the material you have learnt thus far.

Diploma in Medical Coding and Billing - Final Course Assessment

Learn how medical assistants handle healthcare coding and billing in this free online medical administration course.

Diploma in Medical Coding and Billing

There are many facets to medical coding and billing. This medical administration course discusses the role of medical assistants and support staff who handle healthcare administration. We discuss the importance of obtaining appropriate codes to ensure that insurance companies accurately and ethically reimburse all parties involved in the healthcare process. We explore medical terminology and various coding systems and medical claims processes.