Certified Revenue Cycle Specialist (CRCS)
The objective of the CRCS program is to provide and deliver an efficient and sustainable training program that will give Billers, insurance specialists and medical coders the specific jobs skills and knowledge requirements necessary to be successful in basic revenue cycle management concepts within the Saudi Arabia healthcare market.
Course Objectives
Students upon completion of the program will be able to demonstrate the following competencies needed to properly prepare for the medical claims processing in the healthcare revenue cycle.
- Accurately apply and justify coding and billing conventions when processing the claims.
- Understand key fields in the KSA insurance data for CCHI to carry out any investigations and analysis to meet its requirements.
- Standards for Minimum Data specifications for Claims, Enrolled data, Codes, Admission, and discharge specialty reference codes. (CCHI)
- Identify the key focus for data points required for investigation and data analysis and MOH-MDS (ministry of health minimum data specifications).
- Know specific health records requirements as per CBAHI
- Identify the significance of proper coding, policies and protocols on reimbursements and patient quality of care.
- Overview the Billing regulations as per the KSA.
- Understand and apply the Insurance Protocols.
- Summarize the Saudi Health Insurance system and regulatory requirements.
- Understand and apply best practices of reimbursement and collections processes within the RCM.
- Interprete the Case Analysis for the denied claims
- Understand the compliance issues for submitting a claim as per KSA.
- Know the significance of the clean claim submissions in the Quality improvement for the Healthcare.
Course Pre-Requisites
- Revenue Cycle Management (80 course Hours) Required for all students
- Module Lectures: Including interactive online learning modules
- Reading Assignments: Using our study guide and Program textbook
- Module Quizzes: Online quizzes after each module to help assess student comprehension
- Module Tests: Tests after each module designed to help prepare students for the Final Exam.
- Practical Application Work Assignments: Case studies mirroring real life scenarios
- Final Exam: Final Program exam to pass the course, also helps prepare students for the Certification Credential Exam.
Course Modules
- Introduction to Healthcare Revenue Cycle Management
- Healthcare Business Processes
- Coding and Reimbursement concepts
- Patient Registration Process and Data Capture
- Insurance Protocols
- Billing Regulations
- Billing
- Denial Management
- Reimbursements and Collections
- Case Analysis
- Compliance
- Quality in Health care
- Patient Data and Security
Other Courses
Clinical Coding Professional
Outpatient and Inpatient Basics
Course Designed For; Kingdom of Saudi Arabia
Duration: 160 Hours
ABOUT AAPC
AAPC was founded in 1988 as a National Trade Association and is currently the leading credentialing authority and training provider for Health Information Management professionals. Know More
ABOUT THIS COURSE
The objective of the CCP course is to provide and deliver an efficient and sustainable training program that will give medical coders the specific jobs skills and knowledge requirements necessary to be successful in basic medical coding for both inpatient and outpatient settings with the Saudi Arabia healthcare market. Know More
CCDS - Certified Clinical Documentation Specialist
ABOUT CCDS COURSE
The CDIA CCDS credential demonstrates that the holder has undertaken formal CDS training, time in the role of a CDS, and a comprehensive assessment process. Achieving the full credential recognises that a CDS possesses prerequisite educational requirements as well as proven, hands-on experience performing the functions of a CDS.
The CDIA CDS credential has been designed to meet the needs of the CDI industry in Australia, and is applicable to a global audience, particularly applicants working in New Zealand and the Middle East, specifically Saudi Arabia. Know More
Certification Exam
Once students have successfully completed the training program, they will have the skills and knowledge necessary to challenge the professional certification exam administered by AAPC. Students who successfully pass this certification exam will be recognized with a CRCS (Certified Revenue Cycle Specialist) credential.
Professional certification is an important step as it is used to validate coders knowledge, skills and expertise against an established industry standard recognized around the world to ensure professionals meet a baseline level of qualifications.
Certification Exam Requirements:
- 90 multiple choice questions
- 10 case studies (Case analysis mix of various denials types)
- Exam must be completed within 4 hours
- Passing score of 70% or higher