The RCMS program provides and delivers an efficient and sustainable training program that explains the journey of a patient visit from the front desk till the patient is discharged/checked out from the facility and the submission of claim using insurance protocols, billing regulations, and medical codes till the point of reconciliations according to the Saudi healthcare regulations.
The Revenue cycle management specialist program includes lectures, reading assignments, practice exercises, module review tests, and a final exam.
Participants who successfully complete this course will be eligible to take AAPC’s credentialing exam to obtain the professional credential of RCMS.
With over 220,000 members in 43 countries, AAPC is the world’s largest training and credentialing authority for medical coding, billing, and health information management professionals.
AAPC is recognized by governments, employers, and association groups as the gold standard in medical coding and health information management. AAPC offers 30+ professional credentials and certifications, and each year conducts over 60,000 certification exams in 3,700 locations around the world.
Trainees are provided with various policies and source documents and asked to resolve a denial, find an error on a claim, and/or determine the next steps in the follow-up process based on the following documents provided:
o Claim forms
o Remittance advices
o Payment Policies
o Medical Policies (NCDs, Commercial medical policies)
o Appeal Letters
o Pre-authorizations
o Accounts receivable reports
o Claims follow-up reports
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