As a future CCA, CCS or RHIT professional you must be able to provide education to providers and other professionals. This type of presentation may occur in the form of a face to face presentation or a presentation that is recorded and deployed to others.
For this course, you will assume the role of the Revenue Cycle expert who is charged with preparing and presenting a 60 minute session on the Revenue Cycle to new employees. Your goal is to ensure that these new employees understand the revenue cycle process and the role that they may play within your organization.
Your presentation is a 60 minute session and must be presented in the following order:
Graphical Representation of the Revenue Cycle
Insurance Terminology (10 terms)
Patient Access/Registration Process
Insurance Verification Process
Coordination of Benefits
Payers-Managed Care (HMO, PPO, POS, EPO)
Payers-Government (Medicare, Medicaid, Tricare)
Prospective Payment Systems (Focus on MS-DRG, APC and RBRVS)
Claims Edits (NCCI, MCE, OCE)
Claims Submission Process (CMS-1500 vs UB-04)
Notification of Payment (EOB vs RA/ERA)
Discharged Not Final Billed Reports
Medicare Appeals Process
Attached is a Power Point Template to help you get started.
You will need to submit two items for grading.
Your recorded video (embedded in the text editor)
Your power point presentation (.ppt or .pptx) (submitted as an attachment)
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