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BridgeFront Education - Revenue Cycle 101
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Revenue Cycle 101: Foundational Concepts Curriculum

Each of the courses listed below are sold individually; $15 for NAHAM members and $35 for non-members. Click on the course title to purchase the course.  

 

*Please note: You are not required to be a NAHAM member to purchase courses, but you will be required to register and create a user login to access the NAHAM store.  

 

BF80101 - Introduction to the Revenue Cycle V6 (LEARN MORE)

This course introduces the revenue cycle of a Patient, departments and players in the revenue cycle, third party payers, the types of bills sent, revenue cycle tools, methods of payment, the importance of compliance, and what HIPAA means.

 

Course Objectives:
After completing this course, you will understand:
* Define the revenue cycle.

* Identify some of the departments and players and their possible role in the revenue cycle.

* Name the hospital and professional/physician billing forms.

* Cite the importance of compliance in the revenue cycle.

 

Contact Hours: 0.50

Length of Course: 35 minutes 


BF80102 - Revenue Cycle Terminology V6
 (LEARN MORE)

This course introduces common healthcare terms, abbreviations, and acronyms associated with revenue cycle processes.

 

Course Objectives
After completing this course, you will understand:

* Recognize key revenue cycle terms and acronyms.

 

Contact Hours: 0.50
Length of Course: 35 minutes 


BF80103 - Critical Steps in Payer Identification V6 (LEARN MORE)

This course introduces how payers are identified and verified during the patient intake process.

Course Objective: 

After completing this course, you will understand:

* Define verification.

* Recognize methods used to verify payer information.

Contact Hours: 0.25

Length of Course: 20 minutes 


BF80105 - Generating Bills V5 (LEARN MORE)

 

 

BF80106 - Introduction to Healthcare Coding Systems V6 (LEARN MORE)

This course introduces two healthcare coding systems: ICD-9-CM, which is used to describe diagnosis and procedures; and HCPCS, which is used to describe procedures, tests and supplies.

 

Course Objectives
After completing this course, you will understand how to: 
* Name the two healthcare clinical coding systems. 
* Differentiate the two coding systems. 
* Define Patient Financial Services role in code assignment.


Contact Hours: 0.50
Length of Course: 25 minutes


BF80107 - Understanding How Hospitals Are Paid V5 (LEARN MORE)

This course introduces the definition of reimbursement, methods of calculating reimbursement, and the reimbursement puzzle.

 

BF80201 - Customers and Communication Getting to Know Your Customers V6 (LEARN MORE)

This course identifies healthcare customers and methods of interaction and communication.

 

Course Objectives

After completing this course, you will understand how to:
* Identify healthcare customers.
* Name four customer focused communication characteristics.
* Identify methods of communicating with healthcare customers.


Contact Hours: 0.25
Length of Course: 20 minutes

BF80202 - Patient Intake Points Within Healthcare V6(LEARN MORE)

This course identifies how Patients access care in the hospital.

 

Course Objectives

After completing this course, you will understand how to:
* Identify the patient access methods within a hospital.


Contact Hours: 0.25
Length of Course: 15 minutes 

BF80203 - Patient Intake Methods V6 (LEARN MORE)

This course identifies patient intake methods utilized at the hospital.

 

BF80301 - Medical Terminology I: Word Building V6 (LEARN MORE)

 

This course introduces basic medical term word building skills that include combining forms, prefixes and suffixes. In addition, commonly used positional medical terms are introduced.

 

BF80302 - Medical Terminology II: Body Systems V6 (LEARN MORE)

This course introduces the body systems and body. It identifies organs or body parts that are usually associated with the system or an area.

 

Course Objectives

At the conclusion of this course, you will be able to:
*Recognize body systems, areas, and organs.
*Describe root words, prefixes, suffixes, combining forms, and combining terms associated with body systems.
*Memorize core terms related to the body system.
*Employ terminology analysis techniques to determine the meaning of a medical term.


Contact Hours: 1.00
Length of Course: 60 minutes 

BF80303 - Medical Terminology III: Procedures, Symptoms and Acronyms V6 (LEARN MORE)

This course introduces the body systems and body. It identifies organs or body parts that are usually associated with the system or an area.

 

Course Objectives

At the conclusion of this course, you will be able to:
*Recognize body systems, areas, and organs.
*Describe root words, prefixes, suffixes, combining forms, and combining terms associated with body systems.
*Memorize core terms related to the body system.
*Employ terminology analysis techniques to determine the meaning of a medical term.


Contact Hours: 1.00
Length of Course: 60 minutes 

BF80401 - Master Patient Index Search and Assignments V6 (LEARN MORE)

This course identifies appropriate MPI search steps to ensure the correct Patient is identified and medical record number assigned, if appropriate.

 

Course Objectives
After completing this course, you will understand how to:

* Define the master patient index.

* Apply the MPI search flow process.

* Identify the impact of an MPI search and assignment error.


Contact Hours: 0.50
Length of Course: 30 minutes 

Length of Course: 60 minutes 

 


BF80402 - Identifying the Patient and Other Key Individuals V6 (LEARN MORE)

This course identifies the individuals for whom demographic information is obtained during the patient intake process.

 

BF80403 - Patient Interviewing Techniques V6 (LEARN MORE)

This course identifies the key demographic elements that should be captured during patient intake.

 

Course Objectives
After completing this course, you will understand how to:

* Cite the getting to know you techniques.

* Identify demographic information that is gathered during patient intake.

* Apply the getting to know you techniques when gathering demographic information at patient intake.


Contact Hours: 0.50
Length of Course: 40 minutes 

BF80404 - Getting Correct Information from Patients and Guarantors V6 (LEARN MORE)

This course identifies information that should be obtained about the key players at the time of patient intake.

 

Course Objectives
After completing this course, you will understand how to:

* Identify the correct Guarantor, Nearest Relative, Insured(s), and Emergency Contact.

* Complete required demographic information for the Guarantor, Nearest Relative, Insured(s), and Emergency Contact.


Contact Hours: 0.25
Length of Course: 20 minutes 

BF80405 - Why Patient Demographic Data Matters V6(LEARN MORE)

This course identifies what can happen if complete and correct demographic information is not obtained during patient intake.

 

Course Objectives
After completing this course, you will understand how to:

* Recognize the impact incorrect demographic information has on several clinical and financial processes within the revenue cycle.


Contact Hours: 0.25
Length of Course: 15 minutes 

BF80502 - Gathering Essential Visit Information V6(LEARN MORE)

This course identifies encounter information gathered at patient intake.

 

Course Objectives
After completing this course, you will understand how to:

* Define the physician and clinical encounter information obtained during patient intake.

* Complete the physician and clinical encounter information associated with a visit.

* Define the visit specific encounter information obtained during patient intake.

* Complete the visit specific encounter information associated with a visit.


Contact Hours: 0.75
Length of Course: 45 minutes 

BF80503 - Why Patient Encounter Data Matters V6(LEARN MORE)

This course identifies what can happened if the encounter information is not correct at the time of patient intake.

 

Course Objectives
After completing this course, you will understand how to:

* Recognize the impact incorrect encounter information has on several clinical and financial processes within the revenue cycle.

 

Contact Hours: 0.25
Length of Course: 15 minutes 

BF80601 - Reading an Insurance Card V6(LEARN MORE)

This course identifies information that is available on a Patient's health insurance card.

 

Course Objectives
After completing this course, you will understand how to:

* Cite key payer information obtained from a health insurance card.

* Identify key payer information available on a Medicare card.

* Identify key payer information available on a TRICARE card.

* Identify key payer information available on a Blue Cross Blue Shield insurance card.

* Identify key payer information available on a commercial health insurance plan card

and more ...


Contact Hours: 1.00
Length of Course: 60 minutes 

BF80606 - Health Insurance Plans and Participation Basics V6(LEARN MORE)

This course introduces other health insurance payers, such as Blue Cross Blue Shield, Health Maintenance Organizations, and commercial health insurance plans.

 

Course Objectives

After completing this course, you will understand how to:

* Define a provider contractual agreement.

* Define participating and nonparticipating provider.

* Differentiate the payment limits between participating and nonparticipating providers.

* Define Blue Cross Blue Shield.

* Determine the local plan for your geographic area.

* Complete the steps required to link to your local plan's website.

* Define a health maintenance organization.

* Define a commercial health insurance plan.


Contact Hours: 1.00
Length of Course: 60 minutes 

BF80801 - Introduction to Coordination of Benefits V6(LEARN MORE)

This course introduces the term coordination of benefits.

 

Course Objectives
After completing this course, you will understand how to:

* Define coordination of benefits (COB) and its importance in the revenue cycle.

* Recognize when COB is and is not an issue with regard to payer assignment.

* Cite the Patient's, hospital's, and payer's role in determining COB.


Contact Hours: 0.25
Length of Course: 20 minutes 

BF80802 - Determining Coordination of Benefits V6(LEARN MORE)

This course identifies how to determine coordination of benefits.

 

Course Objectives
After completing this course, you will understand how to:

* Sequence and list the steps in the COB flow.

* Define the term Medicare Secondary Payer.

* Distinguish a Medicare Beneficiary.

* Sequence and list the steps in the Accident Determination Process.

* Identify a work related injury/illness.

* Identify an auto related accident/injury.

and more .....


Contact Hours: 1.00
Length of Course: 60 minutes 

BF80803 - Introduction to Medicare Secondary Payer and Medicaid COB V5(LEARN MORE)

This course introduces Medicare Secondary Payer.

 

Course Objectives
After completing this course, you will understand how to:

* Locate and use the Medicare COB website as a reference tool.

* Define the term Medicare Secondary payer (MSP).

* Recognize insurance usually excluded or unrelated from MSP.

* Identify situations where Medicare may be the secondary payer.

* Recognize the Medicare coverage chart.

* Distinguish when Medicare is the primary payer.


Contact Hours: 1.25
Length of Course: 75 minutes 

BF80812 - Why Coordination of Benefits Matters V6(LEARN MORE)

This course identifies what can happen if the coordination of benefits assignment is not correct prior to billing.

 

Course Objectives
After completing this course, you will understand how to:

* Recognize the impact incorrect COB assignment and payer data gathering has on several financial processes within the revenue cycle.


Contact Hours: 0.25
Length of Course: 10 minutes 

BF80813 - Medicare Secondary Payer V6(LEARN MORE)

This course teaches the important questions to ask patients in order to determine their primary payer, and helps you understand how to implement billing correctly.

 

Course Objectives
After completing this course, you will understand how to:

* Define the purpose of Medicare Secondary Payer.

* Describe the questions in the Medicare Secondary Payer Questionnaire.

* Determine when a provider must complete the Medicare Secondary Payer Questionnaire.

* Explain Coordination of Benefits concepts related to Medicare Secondary Payer.

* Discuss the ramifications if the Medicare Secondary Payer Questionnaire is not completed accurately.


Contact Hours: 0.50
Length of Course: 30 minutes 

BF80814 - Medicare Secondary Payer Practice Scenarios V6(LEARN MORE)

This course introduces the Medicare Secondary Payer Questionnaire and teaches staff how to ask the questions needed to correctly implement billing.

 

Course Objectives
After completing this course, you will understand:

* Summarize the Medicare Secondary Payer Questionnaire that is used.

* Demonstrate how to ask the Medicare Secondary Payer Questions.

* Identify the appropriate Medicare Secondary Payer Question given different scenarios.

 

Contact Hours: 0.50
Length of Course: 30 minutes 

BF80815 - Interpretation of Medicare Secondary Payer V6(LEARN MORE)

This course guides staff through multiple scenarios to assist them with determining if and when Medicare is the secondary payer.

 

Course Objectives
After completing this course, you will understand:

* Explain the importance of completing the Medicare Secondary Payer Questionnaire accurately and completely.

* Determine correct Coordination of Benefits assignment.

* Interpret the patient responses to determine if Medicare is the secondary payer.

 

Contact Hours: 0.50
Length of Course: 30 minutes 


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