COURSE DESCRIPTION

Revenue Cycle Management (RCM) is a critical process in health care organizations that involves managing the financial aspects of patient care. The Revenue Cycle Management (RCM) Training Program provides participants with a comprehensive understanding of effectively managing the financial aspects of patient care in the healthcare industry. This course focuses specifically on RCM practices and strategies relevant to the Kingdom of Saudi Arabia (KSA). Who should attend this training program? 1. Healthcare Administrators and Managers: Enhance financial oversight skills through RCM training. 2. Billing and Coding Specialists: Improve coding and reimbursement knowledge. 3. Front Desk Staff: Learn RCM practices for patient financial interactions. 4. Financial Analysts: Gain insights into revenue cycle metrics and KPIs. 6. Healthcare Consultants: Enhance expertise in optimizing financial operations. 7. Healthcare Providers: Recognize the impact of documentation on RCM. 8. Healthcare IT Professionals: Deepen understanding of technology integration in RCM. 9. Career Seekers in Healthcare Administration: Build skills for revenue cycle management roles. Outcomes of the Revenue Cycle Management (RCM) training 1. Optimize revenue cycle processes for improved financial performance. 2. Streamline operations and enhance productivity in revenue cycle tasks. 3. Ensure compliance and mitigate financial risks in revenue cycle management. 4. Master accurate coding and documentation practices for optimal reimbursement. 5. Implement effective denial management and collections strategies. 6. Leverage technology and software for efficient revenue cycle operations. 7. Analyze data and improve performance through KPI monitoring. 8. Foster collaboration and communication among revenue cycle teams. 9. Uphold regulatory and ethical standards in revenue cycle management. Program Highlights Benefit from our trainer's extensive RCM experience in Saudi Arabia's dynamic healthcare landscape. Our program is officially recognized by the Council of Health Insurance. Stay ahead with the latest industry trends in Saudi Arabia, and digital transformation advancements. Apply your knowledge through hands-on exercises simulating real-world healthcare scenarios. Develop practical skills and expertise in RCM for the Saudi healthcare sector. Program’s Outline: The program consists of 5 modules combined with discussions, and practical exercises tailored to the KSA context Participants will have the opportunity to apply their knowledge to real-world scenarios and explore strategies for optimizing revenue cycle performance within the KSA healthcare system. Module 1: Introduction to RCM and Health Insurance in KSA RCM Definitions RCM Principles Introduction to Health Insurance in KSA Health insurance policies and regulation Definition of the Parties in the Insurance Relation Module 2 : The Basic Components of Revenue Cycle Management Patient Registration Patient Pre-Authorization Eligibility & Benefits Verification Claims Submission Payment Posting Denial Management Financial Reporting Module 3 : RCM Ecosystem Challenges and Solutions Definition and Scope of the RCM Ecosystem RCM echosystem Challenges and solutions Technology and Software Integration Module 4 : Segmentation Analysis and Market Study Introduction to Patient Population Segmentation Segmentation Analysis and Market Study Insurance Classification Market Study Segmentation Strategy Methods and techniques for analyzing patient segments Module 5 : RCM in the Context of KSA Health Transformation Align RCM processes with the changing healthcare environment Current State of RCM Operations and Patient Engagement Revenue Cycle Assessment and Best practices Module 6 : Coding systems within Value Based Healthcare Clinical Documentation Improvement Diagnosis-Related Group (DRG) Saudi billing system (SBS) Value Based Healthcare (VBHC)

By the end of this course, you will:

• By the End of This Program: Participants will be equipped with practical skills to optimize revenue cycle performance, identify and resolve common issues, and improve financial outcomes within the Saudi healthcare system. Participants will also be able to effectively collaborate with various stakeholders to ensure smooth and efficient revenue cycle operations.