Revenue Cycle Management: Claims Adjustment for Beginners



Duration:APPROX. 60 Min

Instructors:Coral MED and Guest Speakers

Learning Credits:1.5 CPE

*This course was recorded on Sep 26, 2023.


This course provides a comprehensive exploration of the intricacies of claims adjustment within the healthcare industry. Participants will gain insights into the processes, regulations, and strategies related to healthcare claims, with a focus on optimizing revenue management. The course emphasizes practical skills and knowledge applicable to healthcare professionals and administrators.

1. Understand the lifecycle of healthcare claims and the role of claims adjustment in revenue management. 2. Explore regulatory frameworks and compliance requirements in healthcare claims processing. 3. Develop proficiency in claims adjustment techniques for accurate reimbursement. 4. Analyze strategies for optimizing revenue through effective claims management. 5. Apply critical thinking skills to solve real-world challenges in healthcare revenue management.
By the end of the course, participants should be able to: 1. Describe the key stages of healthcare claims processing and the role of claims adjustment in revenue management. 2. Demonstrate knowledge of regulatory compliance requirements related to healthcare claims. 3. Utilize claims adjustment techniques to ensure accurate reimbursement in various healthcare settings. 4. Develop strategies for optimizing revenue through effective claims management. 5. Apply critical thinking skills to analyze and address challenges in healthcare revenue management
Participants should have a foundational understanding of healthcare administration, medical billing, or a related field. Familiarity with basic healthcare terminology and an understanding of healthcare reimbursement concepts would be beneficial.
1. Participants should register in advance to receive access details. 2. Access links and passwords, if applicable, should be provided securely to registered participants. 3. Participants are encouraged to join the webinar a few minutes early to resolve any technical issues 4. Participants are responsible for ensuring they have a stable internet connection, compatible devices (computer, tablet, or smartphone), and recommended browsers. 5. A microphone and webcam may be required for interactive sessions. Please test your audio and video settings in advance. 6. The webinar may be recorded for educational purposes. 7. Recorded sessions may be shared with registered participants after the webinar. 8. Please be mindful not to share personal or confidential information during the webinar. 9. A detailed agenda will be provided, and each session will adhere to the schedule to cover all planned topics. 10. Time will be allocated for Q&A sessions and discussions. 11. A helpdesk or contact information for technical support will be provided during the webinar. 12. Common technical issues will be addressed at the beginning of the session. 13. Relevant resources, such as presentation slides or additional reading materials, will be shared after the webinar. 14. Follow-up communications may include additional insights, answers to outstanding questions, or announcements related to the webinar.
This course is designed for professionals and individuals in various roles within the healthcare industry, including but not limited to: 1. Healthcare Administrators 2. Medical Billing and Coding Professionals 3. Revenue Cycle Managers 4. Healthcare Compliance Officers 5. Health Information Management Professionals 6. Insurance Claims Processors 7. Healthcare Finance Managers