Revenue Cycle Management

RCM Basics

This course introduces foundational Revenue Cycle Management (RCM) terminology and core concepts used throughout the healthcare reimbursement process. It is designed to establish a clear understanding of essential terms that support accurate billing, compliance, and financial operations.

Revenue Cycle Management

Health Plan Types: Definitions, Eligibility & Referral/Authorization Requirements

This course provides a concise overview of major health plan types, including key definitions, eligibility parameters, and referral and authorization requirements. Participants will gain practical insight into how plan structures impact patient access, coverage verification, and revenue cycle workflows.

Revenue Cycle Management

Medicaid - Comprehensive Learning

This course is designed to build foundational Medicaid knowledge to support accurate eligibility verification, billing compliance, and reimbursement workflows within revenue cycle management.

Revenue Cycle Management

Medicare Coordination of Benefits (COB)

This course provides a structured review of Medicare Coordination of Benefits (COB), with clear guidance on determining primary and secondary payer responsibility under various coverage scenarios. Participants will examine common dual-coverage situations, employer group health plans, retiree coverage, Medicaid interaction, and other payer combinations that impact claim sequencing and reimbursement.

Revenue Cycle Management

Reviewing Eligibility

The course emphasizes front-end accuracy, documentation best practices, and workflow strategies that strengthen financial clearance and reimbursement performance within the revenue cycle.

Revenue Cycle Management

Accounts Receivable

This course introduces the basics of Accounts Receivable (AR) in healthcare billing. Students will learn how to interpret remittance information, understand insurance payments, and identify patient responsibility. The course also covers common claim denials and the role of AR in resolving payment issues.

Revenue Cycle Management

Billing Services

This course provides a comprehensive guide to Remote Patient Monitoring (RPM) billing, focusing on eligibility requirements, billing codes, patient engagement, and compliance standards. Participants will learn how to effectively use the HWS billing dashboard, verify patient eligibility, update diagnosis codes, and ensure correct billing submissions.