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Certified Health Revenue Cycle Management

Take control of your revenue cycle management with training designed for the Tribal, Urban, and Indian Healthcare serving your community. 

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This is a national accredited three (3) day course over period of four (4) months with a final exam. Upon passing, participants will receive a diploma and earn a credential of a Certified Revenue Cycle Management Specialist through the Centers of Health Care Excellence. 

Healthcare Revenue Cycle Management-3rd party billing

Who Should Attend:

  • Business Office/Revenue Cycle Manager & Staff

  • Community Health Representatives

  • Health Information Management & Staff

  • Purchased Referred Care Staff

  • Tribal Leadership

  • Healthcare Leadership

  • Private Practice Operations

Participants will learn the overall revenue cycle process starting with the Billing Terminology and:

  • 3rd party revenue stream components, collection strategies, and revenue bottlenecks

  • Benefit coordination

  • Fraud and abuse

  • Native American Healthcare Policy & Special Protections

  • Clinic/program outpatient processes

  • Medicare and Parts A/B/C/D

  • Managed care contracts,

  • Health Insurance Portability & Accountability Act of 1996 (HIPAA); Emergency Medical Treatment & Labor Act (EMTALA)

  • HIPAA compliance planning

  • Medicaid program

  • Indian Health case studies and discussion

 Training Days

Session/Month 1:​

  • Glossary of Billing Terms

  • Healthcare Revenue Cycle Course​​

Session/Month 3:

  • Healthcare Revenue Generation

Session/Month 2:

  • Federal Regulations & Governing Bodies

  • Patient Access

  • Medicare: Title 18 of the Social Security Act

Session/Month 4:

  • Review & Final Exam

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