Executive Development Programme Medical Billing Strategy
-- ViewingNowThe Executive Development Programme in Medical Billing Strategy is a certificate course designed to empower professionals with the necessary skills to excel in the healthcare industry. This program focuses on the crucial area of medical billing, an increasingly important aspect of healthcare management.
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⢠Medical Billing and Coding Foundation: Understanding the basics of medical billing and coding is essential for creating an effective medical billing strategy. This unit should cover key topics such as medical code sets (e.g., ICD-10, CPT, HCPCS), claim submission, and remittance advice.
⢠Revenue Cycle Management: This unit should delve into the various stages of revenue cycle management, from patient registration and appointment scheduling to insurance verification, claims submission, and payment posting.
⢠Compliance and Audit Readiness: Given the ever-evolving regulatory landscape, it's crucial for executives to stay abreast of industry standards and compliance requirements. This unit should cover essential compliance topics, including HIPAA, fraud and abuse laws (e.g., False Claims Act, Stark Law), and audit best practices.
⢠Medical Billing Software and Technology: In today's digital age, understanding the role of medical billing software and technology is vital for optimizing medical billing strategy. This unit should explore various medical billing software features, such as automated claims processing, patient portal integration, and real-time analytics.
⢠Data Analytics for Medical Billing: Leveraging data analytics can help executives identify trends, monitor performance, and make informed decisions regarding their medical billing strategy. This unit should cover essential data analytics topics, including key performance indicators (KPIs), revenue leakage, and predictive analytics.
⢠Revenue Integrity and Optimization: This unit should focus on maximizing revenue through proactive measures, such as charge master management, payer contract analysis, and underpayment identification.
⢠Patient Financial Experience: With increased patient responsibility for healthcare costs, creating a positive patient financial experience is more important than ever. This unit should discuss strategies for improving patient satisfaction, such as price transparency, payment plan options, and patient communication.
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