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 training is designed to provide a rapid and practical understanding of the healthcare revenue cycle. Participants will explore the financial journey from patient access and charge capture to claim submission, payment posting, reimbursement, and compliance.
The programme focuses on real-world healthcare finance processes, revenue leakage, denial management, cash-flow improvement, payer mix, clean claims, and key financial performance measures.
Practical case studies and simplified models provide insight into how operational and departmental decisions can influence organizational financial results.
Learning Objectives
You will be able to:
- Understand each phase of the healthcare revenue cycle.
- Identify common sources of financial risk.
- Recognize and reduce revenue leakages.
- Interpret financial KPIs.
- Improve front-end and billing practices to reduce denials.
- Strengthen claim quality and clean-claim rates.
- Improve reimbursement through effective AR and payment posting.
- Apply compliance-aligned workflows.
Who Can Attend?
- Revenue Cycle Professionals
- Hospital Finance Teams
- Healthcare Administrators
- Billing and Coding Professionals
- Claims Teams
- AR Professionals
- Denial Management Teams
- Compliance and Operations Professionals
Why Choose This Course?
The programme provides an entire revenue cycle framework within one impactful day. It combines practical knowledge with real-world experience in hospital finance, RCM operations, denial prevention, payer communication, and compliance-based processes.
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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 - Canberra, Gateway Business Center, CANBERRA, Canberra Airport Level 4, Plaza Offices East, 35 Terminal Avenue, Australia
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