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 focused 1-Day programme provides professionals with a practical understanding of healthcare revenue cycle management and its direct influence on financial performance. Participants will explore the full revenue cycle, including patient access, billing, claim submission, payment posting, reimbursement, and compliance.
The training examines healthcare finance fundamentals, revenue leakages, denial patterns, cash-flow challenges, charge capture, clean claims, payer mix, and financial performance metrics.
Using practical scenarios, case studies, and simplified models, participants will gain a clearer understanding of how operational decisions across healthcare departments affect financial outcomes.
Learning Objectives
By the end of the programme, you will be able to:
- Understand the complete healthcare revenue cycle.
- Recognize financial risks and potential revenue leakages.
- Interpret essential healthcare financial KPIs.
- Apply practices that help prevent claim denials.
- Improve claim quality and clean-claim rates.
- Strengthen reimbursement through effective AR and posting processes.
- Follow compliance-aligned workflows to minimize penalties.
Who Can Attend?
- Revenue Cycle Executives & Analysts
- Hospital Finance Professionals
- Healthcare Administrators
- Medical Billing & Coding Professionals
- Claims and AR Teams
- Denial Management Teams
- Healthcare Quality & Compliance Professionals
- Hospital Operations and Front-Office Teams
Why Choose This Course?
The programme condenses essential healthcare revenue cycle knowledge into one focused day. Participants gain practical and immediately applicable insights from real-world methods, simplified decision models, and actionable strategies developed from experience in hospital finance, RCM operations, denial prevention, payer communication, and compliance.
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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 120 Collins Street, 120 Collins Street #Levels 31 & 50, Melbourne, Australia