Online Training Course

Prod ID: 346
Revenue Cycle Management Mastery

Don’t beat your head against the wall trying to make heads or tails of your practice's revenue cycle! Gain confidence in applying payer policy and improve your ability to effectively operationalize aspects of the revenue cycle in a medical practice.

CEUs

6

Length

360 min

Price

$349.00

This program is designed for those who know the basic components of the revenue cycle and seek to improve their understanding of how elements of operations, documentation, billing and contracting intersect to improve payment success. Individuals who master the revenue cycle can achieve higher claims payment approval rates, faster receipt of claims payment, reduction in claims denials and improvement in the overall financial health of a healthcare organization. To accomplish this, those directly and indirectly responsible for a successful revenue cycle must stay educated so they can lead their teams to success. Taught by two leading experts in medical office revenue cycle management, this course provides actual thought leadership for individuals tasked with managing the Revenue Cycle.

Shawntea Gordon, MBA, CMPE, CMOM and Kem Tolliver, CMPE, CPC, CMOM


Shawntea Gordon, MBA, CMPE, CMOM

Taya is a subject matter expert in healthcare compliance, organizational governance, process optimization, and revenue cycle management; a Business Analyst and Revenue Cycle SME, H4 Technology, LLC, and Owner, ITS Healthcare, LLC. She has held senior-level executive management positions in private practices, collaborative institutes, and national care coordination organizations, and now educates and consults on all areas of healthcare operations. 

Teaching and consulting topics including performance improvement, quality improvement, risk reduction, and the shift to value-based payment methodologies. Taya also functions as Business Analyst and Rev Cycle SME for H4 Technology, LLC, a Data Management Software as a Service (DMSaaS) organization providing services to hundreds of providers across the nation. A proud member of the MGMA's Government Affairs Council and E/M Workgroup, Taya recently co-authored the new publication Revenue Cycle Management: Don’t Get Lost in the Financial Maze.

Taya received her Executive MBA in Healthcare Management at Creighton University where she graduated Suma Cum Laude. Taya is the current President of the HIMSS Nebraska Chapter, former Chair of the Membership and Corporate Development Maryland MGMA Chapter, and was recognized in 2019 by Midland’s Business Journal as a ‘40 Under 40’ Executives & Entrepreneurs Award Recipient.

Kem Tolliver, CMPE, CPC, CMOM

Kem is the co-author of, “Revenue Cycle Management: Don’t Get Lost in the Financial Maze” published by MGMA®. She also created and delivered the first-ever Revenue Cycle Management Certificate program on behalf of MGMA. Medical practices managed by Kem have received MGMA® “Better Performing Practice” distinctions in the areas of Accounts Receivable and Collections. As a national and regional SME, Kem develops and delivers educational content to industry leadership.

Mrs. Tolliver holds dual Bachelor of Science degrees in Healthcare Administration and Organizational Management; Summa Cum Laude and Magna Cum Laude respectively. Her certifications include: Certified Medical Practice Executive (CMPE), Certified Professional Coder (CPC) and Certified Medical Office Manager (CMOM). For over 20 years she has provided strategic and operational leadership to medical practices and hospitals. As the President of Medical Revenue Cycle Specialists, LLC (MRCS) her team leads Health Care Organizations in: Practice Start Up and Transformation, Revenue Cycle Improvements, Clinical Documentation Improvement, Educational Programing, Payer Contracting, HIT Software Development, EMR/PM software customization and Telehealth integration.

Kem has served on the Board of Directors of MD MGMA as the Chair of the Practice Management Committee and Chair of the Government Affairs Committee. She received MD MGMA’s 2016 Outstanding Service Award and was the 2018 State of Maryland ACMPE Certification Rep.

Participants will learn common yet complex Revenue Cycle Management (RCM) challenges, resolution strategies, denial prevention tactics, and be best positioned to avoid non-payment and compliance pitfalls.

Content assumes knowledge of the basic components of the revenue cycle.

Revenue Cycle Management (RCM) is never static; continuous changes to the healthcare delivery system affect its performance. Whether it is use of technology or participation in value-based payment models, everyone tasked with medical practice revenue cycle management is on a mission to improve it. Many factors can push the dials up or down and some of the variables are more manageable than others.

Individuals who master the revenue cycle can achieve higher claims payment approval rates, faster receipt of claims payment, reduction in claims denials and improvement in the overall financial health of a healthcare organization. To accomplish this, those directly and indirectly responsible for a successful revenue cycle must stay educated so they can lead their teams to success.

This course provides:

  • Knowledge of various types of health insurance plans
  • Expertise in effective claim follow-up, patient follow-up, and denial resolution
  • Full-circle look at the progression from patient registration through receipt of payments
  • A review of credentialing, coding, payment posting, denial oversight, and regulatory guidelines
  • Understanding of technology use, internal audits, value-based payment models, and analytical reporting

Self-paced online program includes unlimited review of previously recorded instruction and digital companion materials for 6 months.

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