CC-HIM-0101 - Patient Access and Revenue Preparation

Course Description

This course will emphasize the importance of assisting with patient access to healthcare.  Topics covered will be the essential front-end functions of a wide variety of healthcare facilities including scheduling, patient registration, eligibility, insurance authorization, and upfront patient collections. Students will explore how these functions are critical to an organization.  Participants will discuss how excellent customer service relates to receiving timely payment. Students will gain an entry-level understanding of how the processes covered in this course fit into the full revenue cycle and are the gateway to health information management operations. This training is suited to those with no healthcare or revenue cycle experience.

Learner Outcomes

• Explain types of healthcare insurance such as BCBS, Medicare, and Medicaid
• Describe the steps taken to register and schedule a patient and perform a simulation of this process
• Identify the pertinent information that must be located on the review of a patient insurance card
• List the steps in performing a prior authorization for patient insurance coverage
• Describe the process for collecting payments from patients
• Differentiate between copay and self-pay
• Describe the basic steps of the revenue cycle.
• Explain how topics covered are connected to health information management operations.
• Demonstrate professional communication and behavior.