About the Course
This course reviews and manages the configuration and implementation with Revenue Cycle Management (RCM). You will review the implementation process, complete tasks and review general billing and system functionality. Completion of the course is marked by the transition from the TheraNest RCM Implementation team to the RCM Operations team who will manage your account on a day-to-day basis.
Topics in this course include:
- Getting Started & Implementation Milestones
- Milestone 1 - Configuration and EDI Enrollments
- Milestone 2 - Test Claims and RCM Workflows
- Milestone 3 - Go Live and Transition to RCM Operations
Course Categories
-
Getting Started
- Preparing for Revenue Cycle Management
-
Organization & Staff
- Introduction
- Ensora Clearinghouse Claims Service
- Organization Profile
- Service Types
- Location, Place of Service, & Location Groups
- Manage Subscriptions
- Client Portal Settings
- Staff
-
Credentialing, Enrollments, & Authorizations
- Credentialing vs Enrollment
- Provider Credentialing
- Credentialing Process
- Payer Enrollment
- Working with an Insurance Clearinghouse
- Pricing your Services
- Insurance Verification
- Insurance Authorizations
-
EDI Enrollment & Payers
- EDI/ERA Enrollments
- Payers
-
Client Management
- Introduction
- Add Clients
- Client Insurance & Authorizations
-
Workflow & Test Claims
- Workflow & Test Claims
-
Insurance Billing Essentials
- Insurance Billing Glossary
- Lifecycle of a Claim
- Types of Payers
- In-network vs Out-of-network
-
Invoicing & Claim Submission
- Invoicing & Claim Submission
-
Reconciling the Ledger
- Reconciling the Ledger
-
Go Live
- Go Live
- Final Check
About the Course
This course reviews and manages the configuration and implementation with Revenue Cycle Management (RCM). You will review the implementation process, complete tasks and review general billing and system functionality. Completion of the course is marked by the transition from the TheraNest RCM Implementation team to the RCM Operations team who will manage your account on a day-to-day basis.
Topics in this course include:
- Getting Started & Implementation Milestones
- Milestone 1 - Configuration and EDI Enrollments
- Milestone 2 - Test Claims and RCM Workflows
- Milestone 3 - Go Live and Transition to RCM Operations
-
Getting Started
- Preparing for Revenue Cycle Management
-
Organization & Staff
- Introduction
- Ensora Clearinghouse Claims Service
- Organization Profile
- Service Types
- Location, Place of Service, & Location Groups
- Manage Subscriptions
- Client Portal Settings
- Staff
-
Credentialing, Enrollments, & Authorizations
- Credentialing vs Enrollment
- Provider Credentialing
- Credentialing Process
- Payer Enrollment
- Working with an Insurance Clearinghouse
- Pricing your Services
- Insurance Verification
- Insurance Authorizations
-
EDI Enrollment & Payers
- EDI/ERA Enrollments
- Payers
-
Client Management
- Introduction
- Add Clients
- Client Insurance & Authorizations
-
Workflow & Test Claims
- Workflow & Test Claims
-
Insurance Billing Essentials
- Insurance Billing Glossary
- Lifecycle of a Claim
- Types of Payers
- In-network vs Out-of-network
-
Invoicing & Claim Submission
- Invoicing & Claim Submission
-
Reconciling the Ledger
- Reconciling the Ledger
-
Go Live
- Go Live
- Final Check