Online Training Course

Prod ID: 519
Achieve Revenue Cycle Management Mastery

The revenue cycle is never static; continuous changes to the healthcare delivery system affect the cycle's performance. Many factors can push your revenue cycle up or down and some variables are more manageable than others. Take advantage of this opportunity to gain expert insights and practical tips to boost your practice's Revenue Cycle Management (RCM) performance.

CEUs

3

Length

179 min

Price

$239.00


A healthy revenue cycle can achieve higher claims payment approval rates, faster receipt of claims payment, a reduction in claims denials, and improvement in the overall financial health of a healthcare organization. It is about employing effective strategies and leveraging efficiencies to maximize revenue, compliantly, and at the lowest risk possible.

Presented by two leading experts in medical office revenue cycle management, this course provides actual thought leadership for individuals tasked with managing the Revenue Cycle. Kem Tolliver and Shawntea "Taya" Gordon have amassed a wealth of RCM experience and possess a keen understanding of the key challenges in revenue cycle management specific to the healthcare sector. As public speakers, co-hosts of the RevDive podcast, and co-authors of Revenue Cycle Management: Don't Get Lost in the Financial Maze, they are eager to share their hard-won wisdom.

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

Shawntea Gordon, EMBA, 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 identify how to create an intentional revenue cycle strategy that achieves success through denial prevention and proven revenue cycle optimization techniques.
No prerequisites required. However, the content assumes some knowledge of the basic components of the revenue cycle.

Explore common yet complex RCM challenges, identify resolution strategies, denial prevention tactics, and be best positioned to avoid non-payment and compliance pitfalls. Gain confidence in applying payer policy and improve your ability to effectively operationalize aspects of the revenue cycle in a medical practice.

Learning objectives include:

  • Review the foundational elements of a successful revenue cycle which are initiated at patient intake, data capture, insurance verification and time of service collections
  • Effective strategies for claim follow-up, patient follow-up, and denial resolution
  • Review of credentialing, coding, payment posting, denial oversight, and regulatory guidelines
  • Learn how to lean on technology for internal audits, value-based payment models, and analytical reporting
Self-paced online program includes unlimited review of previously recorded instruction and access to downloadable course materials for 6 months.

Comments from past participants:

  • "Excellent material."
  • "Good information, well presented."
  • "The instructors are great."

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