Level 3 Award in Revenue Cycle Management (RCM) in Healthcare

Principles of Revenue Cycle Management in Healthcare: Introduces the end‑to‑end process of patient registration, billing, and reimbursement.

Patient Registration and Data Accuracy: Focuses on demographic verification, insurance validation, and compliance with data standards.

Medical Coding and Documentation Standards: Explains ICD, CPT, and HCPCS coding systems for accurate billing.

Claims Processing and Submission Procedures: Covers electronic and manual claim workflows, clearinghouses, and payer requirements.

Payment Posting and Account Reconciliation: Details allocation of payments, adjustments, and reconciliation with financial records.

Denial Management and Appeals Processes: Teaches identification of claim denials, root cause analysis, and corrective actions.

Compliance with Healthcare Finance Regulations: Reviews HIPAA, NHS finance policies, and international auditing standards.

Revenue Cycle Performance Metrics and Reporting: Introduces KPIs, dashboards, and audit‑ready financial reporting.

Supervisory Roles in Revenue Cycle Operations: Defines leadership, accountability, and staff training responsibilities.

Practical Assessment and Portfolio Development in RCM: Applies case studies, simulations, and compliance‑ready documentation.