Medical Revenue Cycle Management: One Book To Make You Genius by VIRUTI SHIVAN
Are you a student aspiring to excel in the complex world of medical revenue cycle management? Look no further! This comprehensive guide is tailor-made to equip you with the knowledge and skills necessary to navigate the intricacies of this vital healthcare discipline.
Medical Revenue Cycle Management: One Book To Make You Genius is a must-have resource that covers every aspect of the revenue cycle process, from patient registration to claim reimbursement. Written with students in mind, this book offers a comprehensive overview of the subject, providing a solid foundation for your future career.
Inside this guide, you will find:
1. Introduction to Medical Revenue Cycle Management: Gain a clear understanding of the revenue cycle and its significance in healthcare organizations. Explore the various roles and responsibilities involved in revenue cycle management.
2. Patient Access and Registration: Learn the fundamentals of patient registration, insurance verification, and the importance of accurate patient data collection. Understand the impact of accurate information on revenue optimization.
3. Health Insurance and Payer Systems: Explore the intricacies of health insurance, different types of payers, and their impact on revenue cycle management. Gain insights into payer contracts, claim submission, and electronic data interchange (EDI).
4. Coding and Documentation: Discover the importance of accurate medical coding and its impact on reimbursement. Master the principles of coding, documentation guidelines, and coding systems such as ICD-10-CM and CPT.
5. Claims Management and Denial Resolution: Delve into the world of claims management, including claim submission, tracking, and denial resolution. Learn effective strategies to minimize claim denials and maximize revenue recovery.
6. Billing and Reimbursement: Understand the intricacies of billing processes, including charge capture, pricing, and electronic billing systems. Explore reimbursement methodologies, such as fee-for-service and value-based reimbursement.
7. Compliance and Regulatory Considerations: Stay up to date with the ever-evolving healthcare regulations and compliance requirements. Learn about HIPAA, fraud and abuse laws, and the importance of ethical billing practices.
8. Key Performance Indicators and Revenue Cycle Analytics: Gain insights into tracking and meas