Revenue Cycle Management *Bonus: Effective Appeals Management Course Information
Certify as a Revenue Cycle Management Professional
An eLearn Training Program for Healthcare Professionals Work online at your own pace with no scheduled classes to attend Sponsored by
American Institute of Healthcare Compliance, Inc. 431 W. Liberty Street Medina, Ohio 44256 Toll Free: 866-571-5635 Cleveland/Akron Area: 330-241-5635 Fax: 330-952-0716 / ContactUs Visit our web site at www.aihc-assn.org An Internationally Recognized Compliance Training & Certification Leader in Health Care 501(c)(3)Non-Profit Organization
Who should take this course? This course is designed for those working in Patient Financial Services, Accounts Receivables Management or Medical Billing and Collections of a health care organization.
What is eLearn training? eLearn Training courses are online instructor assisted programs. There are no scheduled classes to attend. You may work at your own pace and will have the ability to login to your information 24 hours per day. Your instructor will be available to communicate by phone and e-mail to assist you throughout your training program. Instructors provide online access, technical support and course instruction as needed to help in your educational efforts.
What will I learn from this course? *Bonus Appeals Management Package Includes: An overview of rules and regulations related to appealing denied claims, including considerations during investigations and probes. Sample Appeal Letters Included o o
Improving and Developing Systems, Policies & Procedures: o o o
Accountabilities of a Revenue Cycle Manager Evaluating Current Methods of Collection Calculating Accounts Receivable Performance Financial Counseling Tips & Developing the Initial Collection Action
Medicare Rules & Regulations, Financial Counseling, ABN’s & Patient Collections: o o
Claims and Compliance – Claims Review & Compliance to Medicare Guidelines: o
Billing Edits, Audits and Reviews Conducted by The Centers for Medicare & Medicaid Services (CMS)
Insurance Terms, Coverage and How Health Insurance Plan Deductibles Work Compliance and Collecting Co-Pays Silent Preferred Provider Organizations (PPOs) Billing and the Health Insurance Portability & Accountability Act
o o o o
Billing and Compliance: o o o o o o o o
Professional Courtesy Financial Hardship – developing your own sliding scale Develop an Objective Standard to Determine Hardship Medicare, the Beneficiary Notices Initiate and “MOON”
Consumer Protection Laws – Compliance to Rules and Regulations
Understanding Insurance - Overview of Healthcare Coverage: o
Medicare Fraud and Abuse Penalties Compliance and Claims Processing
Developing an Effective Billing Compliance Program Embezzlement – Compliance and Risk Concern Training & Education in Coding and Billing Compliance Medical Necessity The False Claims Act Anti-Kickback Statute (AKS) Physician Self-Referral Law (Stark Law) Criminal Health Care Fraud Statute
o o o
The Physician-Patient Relationship is a Legal and Ethical Issue When is a Patient-Physician Relationship Established – Avoid Patient Abandonment Sending Patients to a Professional Collection Agency Terminating Patients for Financial Reasons EMTALA – Responsibilities of Hospitals and Physicians to Patients Seeking Treatment for Emergency Conditions Divorce, Minors, Children, Adolescents and Collections FDCPA – The Fair Debt Collection Practices Act Debts and Collecting on a Deceased Patient’s Account Rules and Regulations Related to Medical Identity Theft
. Revenue Cycle Management ~ Copyright 2007 - 2017 (Prices subject to change)
What is the cost? What is included? Tuition: $1,250 AIHC Members pay only $850 with Coupon Code located in the AIHC Member Store! Start training after registration is processed. Course must be completed in 6 months to avoid extension fees and/or penalties. Online Course Manager assigned to each professional enrolling in the program to provide professional guidance, technical web site support and assist in the learning experience. Training Materials and Online Course Page provided Homework and online quizzes are accessed through your Online Course Page Downloadable information can be used for future reference. AIHC Membership for one year (for non-members only)
Non-Member: Click Here to register online for this Course and AIHC Membership AIHC Member: Click Here, locate Course in the AIHC Members Store Copy the Coupon Code & click “Register Now” Login; Registration form auto-populates – enter coupon code at checkout
OR scroll down for hard copy registration form
Do you offer Multiple Student Discounts for organizations? Yes! Please Contact Us for more information!
Do you have Payment Options available for this course? Yes! We offer in-house payment plans – please Contact Us for more information OR we offer the option to use PayPal Credit when paying online through PayPal.
Scholarship Assistance is available to our current members employed with a company that does not offer tuition reimbursement.
Do you have a Refund Policy? Yes! Click Here to view our Refund and Transfer Policy Revenue Cycle Management ~ Copyright 2007 - 2017 (Prices subject to change)
Are there specific computer requirements for this program?
Yes! You will need High-speed Internet access, Email, Microsoft Word, Excel & Adobe Reader
Can I earn Continuing Education Units (CEUs) for completing this course?
Yes! Earn 14 Continuing Education Units awarded for successful completion of this training program! 14.0 CEUs: This program has been approved for 14 Continuing Education Units (CEUs) by the American Institute of Healthcare Compliance for AIHC Certified Professionals.
Optional Certification Exam available for qualified individuals Experienced Revenue Cycle Managers and Medical Collectors will have the option to Certify as a Certified Healthcare Collections Manager (CHCM) – Formerly Certified Medical Collector (CMC), after successful completion of the Revenue Cycle Management Training Program. The online exam can be taken from the comfort of your home or office by appointment only and scheduled with a professional AIHC proctor. The certification exam is OPTIONAL, but the cost of one exam attempt is INCLUDED in your course tuition provided you take the exam within three months of completing the program.
How do I maintain my Credential? Once you are certified, you need to maintain your credentials by earning six (6) continuing education units annually as described below.
Click Here to access the online CEU renewal chart. AIHC OFFERS FREE AND LOW COST ($35) CEU PROGRAMS TO OUR MEMBERS Revenue Cycle Management ~ Copyright 2007 - 2017 (Prices subject to change)
Office Use Only
REVENUE CYCLE MANAGEMENT ENROLLMENT FORM
Date Received: Online Manager: Web site Access: Payment Plan [ ] Yes [ ] No
Tuition (CHECK APPROPRIATE BOX) Enrollment Date: _________________________ Print Name & Credentials: (one form per person)
Tuition: $1,250.00 Optional Certification Exam Coupon Code:_________________(if applicable) AIHC Member? Use coupon code and register for less! Tuition: $850.00 Optional Certification Exam Coupon Code:_________________________
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Card #:____________________________________________________________ Sec Code________ Exp. Date __________ Billing address for credit card: ____________________________________________________________________________ Name as it appears on the card:____________________________________________________________________________ Authorized Signature & Date:_____________________________________________________________________________ Paying by Corporate Check? Amount Due: ____________ Please make checks payable to: AIHC Mail to: American Institute of Healthcare Compliance 431 W. Liberty Street Medina, OH 44256 Phone: 330-241-5635 / FAX: 330-952-0716 Please visit our website at www.aihc-assn.org for more information about our company. Inquiries should be made to ContactUs How did you hear about us? □ Mailing □ Email □ Co-worker □ AIHC web site □ AHIMA web site □ Facebook □ Other____________
Revenue Cycle Management ~ Copyright 2007 - 2017 (Prices subject to change)
American Institute of Healthcare Compliance, Inc. Membership Application/Required for non-members enrolling in this program (Membership included in price of tuition at no additional cost) Job/Position (title & brief description):
Are you certified by any organization? Please indicate certification and company name:
Are you a licensed clinical professional? Please check all appropriate boxes:
MD/DO Chiropractor Doctor of Podiatric Medicine Physical Therapist Occupational Therapist Speech-Language Pathologist Kinesiotherapist
Physician Assistant Nurse Practitioner/Midwife Registered Nurse Licensed Practical Nurse Medical Assistant Other___________________
OIG exclusion Have you ever been: 1) Notified that you were under investigation for; investigated for; charged with; or convicted of any offense relating to Medicaid or Medicare fraud? 2) Have you ever been on the OIG exclusion list?
Membership Requirement (Restriction) AIHC membership is open to the public, health care workers and administrators as well as certified healthcare auditors, collectors and compliance officers. To uphold to a higher standard, AIHC follows the guidelines recommended by the Office of the Inspector General (OIG) regarding retention of excluded individuals. For many years the Congress of the United States has worked diligently to protect the health and welfare of the nation's elderly and poor by implementing legislation to prevent certain individuals and businesses from participating in Federally-funded health care programs. The OIG, under this Congressional mandate, established a program to exclude individuals and entities affected by these various legal authorities, contained in sections 1128 and 1156 of the Social Security Act, and maintains a list of all currently excluded parties called the List of Excluded Individuals/Entities. (See OIG website at http://exclusions.oig.hhs.gov/ ) No individual whose name appears on the OIG Excluded Individuals Entities List may hold membership in AIHC; and any member whose name is added to this list will have his/her membership status revoked without refund.
“My signature below indicates I have read this restriction to membership and attest that I am not currently on the OIG exclusion list at the date this application has been submitted for membership to the American Institute of Healthcare Compliance.”
Revenue Cycle Management ~ Copyright 2007 - 2017 (Prices subject to change)