RCM KPIs and Metrics: Driving Success in Healthcare Billing and Coding
Course Description:
Revenue Cycle Management (RCM) is a critical component of healthcare operations, directly impacting an organization’s financial health, operational efficiency, and compliance. This webinar delves into the essential Key Performance Indicators (KPIs) that every billing and coding professional must know to identify trends, assess performance, and drive improvements. Participants will explore how these KPIs can uncover weaknesses, streamline workflows, and optimize revenue. From operational metrics to compliance-focused benchmarks, attendees will gain actionable insights into the best practices for tracking, analyzing, and leveraging KPIs within their departments.
The session also emphasizes the importance of communication and collaboration within RCM teams. Discover how fostering a team-driven environment and utilizing the right resources can enhance performance, promote accountability, and empower your workforce to meet industry standards and excel in their roles. Whether you’re a manager, coder, or biller, this webinar will equip you with the tools and knowledge to make data-driven decisions and succeed in 2025.
Learning Objectives:
- Highlight the importance of KPIs in achieving operational excellence
- Share strategies for identifying and addressing departmental weaknesses
- Foster effective communication and collaboration among RCM teams
- Provide insights on selecting and utilizing the right resources efficiently
- Encourage team empowerment and accountability
- Promote the application of industry standards for sustained improvement
Areas Covered in the Session:
- Terminology & Acronyms
- Key Categories of KPIs in Medical Practices
- Understanding the Financial Health of Medical Practices through KPIs
- Benchmarking
- Revenue Cycle Management / Accounts Receivables
- NCD/ LCD
- NCCI Edits/MEU
- W/O /Adjustments
- Best Practices Procedures
- Key Performance Indicators (KPIs)
- Why Do KPIs Matter?
- Financial
- Operational
- Compliance
- Key Categories of KPIs: Financials
- Collection Rate
- Days in Accounts Receivable
- Write Off & Adjustment
- Average Revenue Per Visit
- Industry Standards
- Key Categories of KPIs: Operational
- Denial Rate
- Clean Claims
- Productivity
- Charge Lag
- Key Categories of KPIs: Compliance
- Accuracy
- Overapayments
- Modifier Usage
- Misuse of Dx Codes
- Bundling
- Blind Rebills
- Future Insights
- Value-Based Care
- Automation
- Growing Emphasis on Denial Prevention
- Data-Driven Decision Making
Suggested Attendees:
- Healthcare Administrators
- Physicians and Non-Physician Providers
- Physician Office Practice Managers
- Medical Billing Professionals
- Medical Coding Professionals
- Revenue Cycle Managers
- Revenue Cycle Staff
- Medical Auditors
- Practice Managers
- Compliance Officers
- Healthcare Leaders
- Providers and Clinicians with RCM Oversight
- Healthcare Consultants
About the Presenter:
Michelle Stevens, CPCO, CPPM, CPB, is the founder of Elite Medical, a leading healthcare consulting firm specializing in credentialing and revenue cycle management. With over 30 years of experience in the medical industry and 20 years of expertise in credentialing and fee negotiations, Michelle has assisted start-ups and large multi-specialty practices nationwide. She holds a BS/BA degree in Business Management and Human Resource Management and is a Certified Professional Compliance Officer (CPCO), Certified Physician Practice Manager(CPPM), Certified Professional Biller (CPB), and Certified Professional Coder (CPC). Additionally, Michelle is an AAPC-approved instructor and the author of the eBook Empower Your Practice. Michelle is passionate about helping healthcare professionals streamline their credentialing processes, maximize reimbursement, and ensure compliance.
Additional Information:
System Requirement:
- Internet Speed: Preferably above 1 MBPS
- Headset: Any decent headset and microphone which can be used to hear clearly
For more information, you can reach out to the below contact:
Toll-Free No: 1-302-444-0162
Email: care@skillacquire.com
Snippet From Our Previous Session:
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FAQ:
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On-Demand Recording:
- Best for flexibility and learning at convenience.
- Forever access with unlimited views and resources.
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Flash Drive + Replay:
- Physical flash drive with full webinar recording.
- Ownership with bonus forever digital replay access.
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E-book Format:
- Comprehensive written guide with powerpoint slides and visual references.
- E-Book will be sent after the Live Session is done.
- Ideal for learners who prefer reading over watching videos.
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Corporate/Team Access:
- Ideal for teams (up to 10 members) looking for a shared experience.
- On-demand access with team dashboard and group certificates.
Testimonials:
"This program on HIPAA did a great job providing actionable concepts in a way that updated our team and me, I now know how I will implement the concepts because I already did it in their online seminar, it was easy to ask questions from the speaker at the end of my 60 minutes course"
Melissa Preston, Health Information Management Staff
"David Vaughn covered the material completely and I have a new understanding of when, where and why we need to use an ABN"
Sandie Fowler, Out of Network Billing Staff
"Great presentation. Able to do during the day. Timing was great"
Tina Duffy, Compliance Officer