About this Event
Group Discounts:
Save 10% when registering 3 or more participants
Save 15% when registering 10 or more participants
About the course:
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 provides a fast-track understanding of the healthcare revenue cycle and its financial impact on organizational performance. You will explore each revenue cycle phase from patient access to claim submission, payment posting, reimbursement optimization, and financial compliance. The workshop focuses on real-world processes, healthcare finance fundamentals, common revenue leakages, denial trends, and cash-flow improvement strategies. You will also learn industry-relevant concepts like charge capture accuracy, clean claims, payer mix interpretation, and key financial metrics that drive healthcare profitability. The session includes practical case studies, real-world scenarios, and simplified models to help you understand how decisions across departments affect financial outcomes.
Learning Objectives:
By the end of the course, you will be able to:
- Understand the complete revenue cycle and how each phase impacts cash flow.
- Identify common financial risks and revenue leakages in healthcare settings.
- Interpret core financial KPIs and use them to improve performance.
- Reduce denials by applying correct front-end and billing practices.
- Evaluate claim quality and improve clean-claim submission rates.
- Strengthen reimbursement processes through strong AR and posting practices.
- Apply compliance-aligned workflows to avoid financial penalties.
Target Audience:
This course is ideal for:
- Revenue Cycle Executives & Analysts
- Hospital Finance Professionals
- Healthcare Administrators
- Medical Billing & Coding Staff
- Claims, AR, and Denial Management Teams
- Healthcare Quality & Compliance Professionals
- Hospital Operations & Front-Office Teams
Why Choose This Course?
This course delivers a complete revenue cycle framework distilled into a single impactful day—ideal for professionals who want rapid, practical, and immediately applicable knowledge. The curriculum is designed by an expert with hands-on experience in hospital finance, RCM operations, denial prevention, payer communication, and compliance-based workflows. You receive real-world methods, simplified decision models, and actionable strategies to strengthen financial outcomes in any healthcare setting.
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Our Royalty Referral Program
Know a team or professional who could benefit from our workshops? Refer them and earn attractive royalties for every successful registration.
For royalty-related queries, contact [email protected]
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 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 reason 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 MA, Boston - Federal Street, 101 Federal Street #Suite 1900, Boston, United States
USD 542.07 to USD 705.91
