Nine out of ten healthcare administration employees wish they had learned more about revenue cycle, finance, and big data analytics during their graduate schooling. This course will prepare students with a better understanding of these topics by diving deep into RVUs, Denials, Write-Offs, AR, and the Revenue Cycle. No matter your skill level, this course can help you add more value to your organization.
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What's inside
Learning objectives
- Revenue cycle
- Healthcare finance
- Pivot tables
- Root cause analysis
- Big data analysis
- Healthcare analytics
- Healthcare billing data
- Healthcare administration
- Revenue management
- Healthcare data
- Big data
- Healthcare
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- Revenue cycle
- Healthcare finance
- Pivot tables
- Root cause analysis
- Big data analysis
- Healthcare analytics
- Healthcare billing data
- Healthcare administration
- Revenue management
- Healthcare data
- Big data
- Healthcare
- Show more
- Show less
Syllabus
What is Revenue Cycle? Why is so important? How can you make an impact?
This presentation will give you a foundation for the rest of the content we discuss in the course. You'll learn about how healthcare organizations get paid, the unique challenges that exist in that payment structure, and how to drive an effective revenue cycle.
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Syllabus
This presentation will give you a foundation for the rest of the content we discuss in the course. You'll learn about how healthcare organizations get paid, the unique challenges that exist in that payment structure, and how to drive an effective revenue cycle.
Welcome to The RVU created by Rev Cycle Ready. In this training, we will discuss the basics of RVUs that are fundamental for the subsequent trainings.
In this training, we will discuss the first step to calculating reimbursement.
In this training, we will discuss the second step to calculating reimbursement.
In this training, we will discuss the third step to calculating reimbursement.
In this training, we will discuss the fourth step to calculating reimbursement.
In this training, we will discuss the fifth step to calculating reimbursement.
In this training, we will discuss the sixth step to calculating reimbursement.
In this training, we will help you understand what is AR and how it is calculated.
This training will cover the flat-file dataset. We will explain what each of the columns of data representation and the types of data you'll see in the columns. These will be the data fields you can ask your organization for.
We will show you how to take the flat-file and put it into a pivot table.
In this training, we will use our pivot table to construct a number of different AR metrics.
Now is your time to construct your own AR analysis based on either our data or your organization's data.
In this training, we will discuss the unavoidable adjustments such as charity care, contractual adjustments, and other unavoidable adjustments.
In this exercise, you'll test your knowledge of avoidable adjustments vs unavoidable adjustments.
In this training, you'll learn how to perform a root cause analysis to try and identify why a particular adjustment code is happening so frequently. This will be done by specialty.
This exercise will help you create your own root cause analysis by specialty.
In this training, you'll learn how to perform a root cause analysis to try and identify why a particular adjustment code is happening so frequently. This will be done by department.
This exercise will help you create your own root cause analysis by department.
Welcome to Denials Ready! We are excited to have you and know you will greatly benefit from this education. In this video, we will discuss where denials fit within the revenue cycle process and conceptually review how to avoid denials.
In this video, we will review denial definitions that will be used throughout the course. This terminology is used across the healthcare industry and is valuable to understand.
In this video, you will be introduced to the denials ready data set. This data set will be instrumental in helping you learn core healthcare finance principles while getting your hands on realistic billing system data.
In this video, we will review a denials example. Mimicking this example over and over again using different variables and filters will help you better understand these concepts.
In this video, you will learn how to calculate gross collection rates for claims that have and have not been denied.
In this video, you will learn how to calculate a denial rate. Understanding the denial rate is the first step to solving denial issues.
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Activities
Organize and review course materials
Show steps
Improve your comprehension and retention by organizing and reviewing course materials.
Show steps
-
Gather all course materials, including lecture notes, slides, handouts, and assignments.
-
Create a system for organizing and storing the materials, such as using folders or note-taking apps.
-
Review the materials regularly to reinforce your understanding and identify areas for further study.
Volunteer at a hospital or healthcare organization
Show steps
Gain hands-on experience and apply your knowledge to real-world settings.
Show steps
-
Identify a hospital or healthcare organization that offers volunteer opportunities.
-
Inquire about available positions and choose one that aligns with your interests and skills.
-
Attend training and orientation sessions to prepare for your volunteer role.
-
Perform your volunteer duties with enthusiasm and a commitment to helping others.
Review fundamental of pivot tables
Show steps
Refresh your understanding of pivot tables to strengthen your foundation for healthcare finance and data analytics.
Browse courses on
Pivot Tables
Show steps
-
Review the basics of pivot tables, including their structure and components.
-
Practice creating simple pivot tables using real-world healthcare data.
-
Explore advanced pivot table features, such as calculated fields and slicers.
Four other activities
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Show all seven activities
Complete the Healthcare Finance Basics Course on Coursera
Show steps
Delve deeper into healthcare finance principles to strengthen your analytical skills and decision-making abilities.
Browse courses on
Healthcare Finance
Show steps
-
Enroll in the Healthcare Finance Basics course on Coursera.
-
Complete the video lectures and readings on financial statements, budgeting, and cost analysis.
-
Participate in online discussions and forums to engage with other learners and experts.
Read Lean Healthcare
Show steps
Gain insights into healthcare process optimization to enhance your understanding of revenue cycle management.
View
The Executive Guide to Healthcare Kaizen
on Amazon
Show steps
-
Read chapters 1-3 to grasp the principles and concepts of lean healthcare.
-
Analyze case studies and examples to understand how lean practices are applied in healthcare settings.
-
Identify opportunities to improve efficiency and reduce waste in your own organization's revenue cycle.
Analyze hospital financial data using SQL
Show steps
Enhance your data analysis skills by working with real hospital financial data.
Show steps
-
Obtain a dataset of hospital financial data.
-
Write SQL queries to extract and analyze key financial metrics.
-
Identify trends and patterns in the data to gain insights into hospital operations.
Participate in a healthcare analytics hackathon
Show steps
Challenge yourself and collaborate with others to solve real-world healthcare problems using data analysis.
Browse courses on
Healthcare Analytics
Show steps
-
Find an upcoming healthcare analytics hackathon.
-
Form a team and develop a project proposal.
-
Analyze data and develop innovative solutions to address healthcare challenges.
-
Present your findings to a panel of judges and industry experts.
Organize and review course materials
Show steps
Improve your comprehension and retention by organizing and reviewing course materials.
Show steps
- Gather all course materials, including lecture notes, slides, handouts, and assignments.
- Create a system for organizing and storing the materials, such as using folders or note-taking apps.
- Review the materials regularly to reinforce your understanding and identify areas for further study.
Volunteer at a hospital or healthcare organization
Show steps
Gain hands-on experience and apply your knowledge to real-world settings.
Show steps
- Identify a hospital or healthcare organization that offers volunteer opportunities.
- Inquire about available positions and choose one that aligns with your interests and skills.
- Attend training and orientation sessions to prepare for your volunteer role.
- Perform your volunteer duties with enthusiasm and a commitment to helping others.
Review fundamental of pivot tables
Show steps
Refresh your understanding of pivot tables to strengthen your foundation for healthcare finance and data analytics.
Browse courses on
Pivot Tables
Show steps
- Review the basics of pivot tables, including their structure and components.
- Practice creating simple pivot tables using real-world healthcare data.
- Explore advanced pivot table features, such as calculated fields and slicers.
Complete the Healthcare Finance Basics Course on Coursera
Show steps
Delve deeper into healthcare finance principles to strengthen your analytical skills and decision-making abilities.
Browse courses on
Healthcare Finance
Show steps
- Enroll in the Healthcare Finance Basics course on Coursera.
- Complete the video lectures and readings on financial statements, budgeting, and cost analysis.
- Participate in online discussions and forums to engage with other learners and experts.
Read Lean Healthcare
Show steps
Gain insights into healthcare process optimization to enhance your understanding of revenue cycle management.
View
The Executive Guide to Healthcare Kaizen
on Amazon
Show steps
- Read chapters 1-3 to grasp the principles and concepts of lean healthcare.
- Analyze case studies and examples to understand how lean practices are applied in healthcare settings.
- Identify opportunities to improve efficiency and reduce waste in your own organization's revenue cycle.
Analyze hospital financial data using SQL
Show steps
Enhance your data analysis skills by working with real hospital financial data.
Show steps
- Obtain a dataset of hospital financial data.
- Write SQL queries to extract and analyze key financial metrics.
- Identify trends and patterns in the data to gain insights into hospital operations.
Participate in a healthcare analytics hackathon
Show steps
Challenge yourself and collaborate with others to solve real-world healthcare problems using data analysis.
Browse courses on
Healthcare Analytics
Show steps
- Find an upcoming healthcare analytics hackathon.
- Form a team and develop a project proposal.
- Analyze data and develop innovative solutions to address healthcare challenges.
- Present your findings to a panel of judges and industry experts.
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