About this Event
Bring your team and save:
1. Groups of three or more receive a 10% discount
2. Organizations hosting an in-house session with 10+ participants enjoy a 15% discount.
Duration: 1 Full Day (8 Hours)
Delivery Mode: Classroom (In-Person)
Language: English
Credits: 8 PDUs/Training Hours
Certification: Course Completion Certificate
Refreshments: Lunch, Snacks and beverages will be provided during the session
Course Overview
This intensive 1-Day workshop offers a fast-track introduction to the healthcare revenue cycle and its importance to organizational financial performance. You will examine each phase, beginning with patient access and continuing through claim submission, payment posting, reimbursement management, and financial compliance.
The programme focuses on practical healthcare finance concepts, common revenue losses, denial trends, cash-flow improvement, charge capture accuracy, clean claims, payer mix, and key performance metrics.
Real-world examples, case studies, and simplified models help participants understand how actions across multiple departments can influence healthcare financial results.
Learning Objectives
You will learn how to:
- Understand how each revenue cycle stage affects cash flow.
- Identify common sources of financial risk and revenue leakage.
- Use core financial KPIs to assess performance.
- Reduce denials through correct front-end and billing processes.
- Evaluate claims and improve clean-claim performance.
- Improve reimbursement through AR and payment-posting practices.
- Apply compliance-focused workflows to avoid financial penalties.
Who Can Attend?
- Revenue Cycle Professionals
- Hospital Finance Teams
- Healthcare Administrators
- Medical Billing & Coding Staff
- Claims and AR Professionals
- Denial Management Teams
- Compliance Professionals
- Hospital Operations Teams
Why Choose This Course?
This course is designed for professionals who need practical healthcare revenue cycle knowledge without lengthy training. It combines expert-led insights, real-world approaches, simplified models, and actionable strategies covering hospital finance, RCM, denial prevention, payer communication, and compliance workflows.
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Want to train your entire team?
We offer customized in-house workshops tailored to your hospital or clinic’s specific processes, payer mix, and operational challenges. Curriculum, case studies, and activities can be modified to reflect your workflows, systems, and team skill levels. This option is ideal for organizations aiming to standardize processes and boost financial performance across departments.
📧 Contact us today to schedule a customized in-house, face-to-face session:
Agenda
Module 1: Healthcare Finance Foundations
Info: • Understand how revenue flows in hospitals and clinics.
• Explore payer mix, reimbursement models, and financial KPIs.
• Identify common financial leak points in healthcare operations.
• Icebreaker Activity
Module 2: Patient Access & Front-End Revenue Cycle
Info: • Insurance verification, eligibility checks, and financial clearance essentials.
• Impact of scheduling accuracy and benefit investigation on approval rates.
• Red flags that trigger denials later in the cycle.
• Activity
Module 3: Clinical Documentation & Charge Capture
Info: • How clinical documentation translates into accurate charges.
• Charge capture accuracy, coding alignment, and documentation gaps.
• Preventing revenue loss due to incomplete or incorrect charges.
• Role Play
Module 4: Claims Management & Payer Coordination
Info: • Clean claim essentials, filing timelines, and payer-specific rules.
• Coordination of benefits, prior authorizations, and claim edits.
• Common claim-rejection reasons and how to avoid them.
• Case Study
Module 5: Denials, Appeals & Reimbursement Optimization
Info: • Types of denials: clinical, technical, authorization, coding, and billing.
• Appeal strategies and root-cause analysis for recurring denials.
• Methods to stabilize and accelerate reimbursement cycles.
• Simulation
Module 6: Payment Posting, AR Management & Cash Flow
Info: • Accurate payment posting and reconciling payer discrepancies.
• Accounts receivable workflows and aging bucket interpretation.
• Improving cash flow through AR acceleration techniques.
• Group Brainstorm Activity
Module 7: Compliance, Audit & Performance Reporting
Info: • Understanding compliance checkpoints across the revenue cycle.
• Key audit triggers and how to prevent financial penalties.
• KPI dashboards: net collection rate, DNFB, AR days, denial rate, cash conversion cycle.
• Activity
Event venue & nearby stays
Regus-Brisbane – Spaces Jubilee Place, Fortitude Valley 470, Fortitude Valley, Australia
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