Complete Rcm Referral/Prior Authorization Training Course

A Comprehensive Training Course on RCM Referral and Prior Authorization: Streamlining the Insurance Approval Process.

What you'll learn

Explain the four processes of insurance referrals, pre-authorizations, pre-certifications, and predeterminations

Identify the services required for each process

Demonstrate knowledge of the differences between each process

Comprehend the importance of the insurance referral process in relation to the Revenue Cycle Management

Generate and complete an insurance referral form

Accurately complete a Prior Authorization form for both Medical and Special pharmacy medications

Requirements

Having basic US healthcare system knowledge

Description

Are you struggling to manage the referral process and prior authorizations in your healthcare organization? Look no further than the "Complete RCM Referral/Prior Authorization Training" course! This comprehensive training program covers all aspects of the referral process and prior authorization, from initial referral authorization to final reimbursement.Participants will gain valuable knowledge and skills to accurately complete referral and prior authorization forms, identify the required services for each process, and understand the importance of the referral process and prior authorization in relation to revenue cycle management. The course is ideal for healthcare professionals, billing managers, medical administrative assistants, and practice administrators.The "Complete RCM Referral/Prior Authorization Training" course is designed to help you maximize your revenue cycle management potential and improve your referral process and prior authorization procedures. With interactive learning materials and real-world examples, this course will equip you with the knowledge and skills to become an expert in the referral process and prior authorization procedures.In this training course, you will learn the four processes of insurance referrals, pre-authorizations, pre-certifications, and predeterminations, and how to complete each process accurately. You will also learn how to generate and complete an insurance referral form, as well as accurately complete a prior authorization form for medical and special pharmacy medications.Don't miss out on this opportunity to streamline your referral process and prior authorization procedures and optimize your revenue cycle management. Sign up for the "Complete RCM Referral/Prior Authorization Training" course today and take the first step towards improving your healthcare organization's efficiency and profitability.The course is delivered through a series of interactive modules and is suitable for anyone with a basic understanding of the US healthcare system. Upon completion of the course, participants will be able to explain the four processes of insurance referrals, pre-authorizations, pre-certifications.

Overview

Section 1: Introduction

Lecture 1 Introduction

Lecture 2 Who I Am?

Lecture 3 Overview of Insurance Reimbursement

Section 2: Insurance Referral

Lecture 4 Insurance Referral

Section 3: Pre-Authorization

Lecture 5 Pre-Authorization

Section 4: Pre-Certification

Lecture 6 Pre-Certification

Section 5: Pre-Determination

Lecture 7 Pre-Determination

Section 6: Summary

Lecture 8 Summary

Anyone with a basic US healthcare system knowledge,Anyone who’s thinking about taking a billing and coding course, healthcare administrative students, office managers, medical secretary, medical administrative assistant, medical billers, referral coordinator, practice administrators, billing managers, healthcare leaders,Additionally, if someone work or thinking of taking a position at company that support US healthcare Billing systems or Revenue Cycle Management systems