Capella University Revenue Cycle Process Presentation

Develop a PowerPoint presentation with accompanying 10 to 20 minutes of audio targeted at educating new hires at a health care organization about the revenue-cycle process.

Introduction

The financial health of the health care organization depends upon its ability to generate consistent and recurring funds from the services it provides. Collectively referred to as the revenue cycle (RCM), critical stages in this process include:

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  • Patient registration.
  • Collection of demographics and payor source.
  • Rendering services.
  • Documenting services.
  • Establishing charges.
  • Preparing the claim or bill.
  • Submitting the claim.
  • Receiving payment.
  • Managing accounts receivable.
  • Decreasing payment delays and lost revenues is a point of interest for many health care managers tasked with oversight of the RCM process. Innovative approaches in technology have assisted with streamlining the RCM process and allowed for automation of many processes, resulting in expedited processing and quick remittance.

    Managed care dollars represent a significant portion of all health care organizations’ reimbursements. As a result, health care organizations seek to establish contracts with large managed care organizations (MCOs). Negotiating and securing contracts with MCOs is important for several reasons, including preserving revenues, enhancing patient satisfaction, and generating additional sources of revenue.

    All contracts will contain language outlining the administration of the contract along with the payment schedule. While the payment schedule may be seen as the most important element, the terms outlined within the contract are equally as vital to the financial success of the organization.

    This assessment focuses on the revenue cycle and how technological innovations have impacted reimbursement for health care organizations. You will take on the role of a patient access supervisor. One of your job functions entails educating new hires about the revenue cycle process.

    Demonstration of Proficiency

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    Competency 3: Explain the organizational revenue cycle process. Explain the purpose of each step in the revenue cycle process.Describe key responsibilities of individuals who work in the revenue cycle process.

  • Explain the consequences to the organization of failing to fulfill key responsibilities in the revenue cycle process.
  • Explain additional steps and challenges in the revenue cycle process when working with an uninsured patient.Competency 4: Communicate in a manner that is scholarly, professional, and respectful of the diversity, dignity, and integrity of others and is consistent with the expectations of health care professionals. Adhere to the rules of grammar, usage, and mechanics.Apply APA formatting to in-text citations and references.

    Instructions

    For this assessment, prepare a 10-slide PowerPoint presentation outlining the various steps of the revenue cycle. For the scenario, imagine you are a patient access supervisor who must educate a group of new hires about the revenue cycle process. The presentation should include:

  • The revenue cycle process.
  • Their potential responsibilities.
  • Why the process is important to a care organization.
  • Challenges that they might face in their work.
  • When structuring your presentation, consider the following points and questions to ensure that you are meeting the scoring guide criteria:

    Explain the purpose of each step in the revenue cycle process. “Explain” means to make (an idea, situation, or problem) clear to someone by describing it in more detail or revealing relevant facts or ideas.The steps within the revenue cycle process including admissions, case management, documentation, coding, billing, and other steps.Describe key responsibilities of individuals who work in the revenue cycle process. “Describe” means to give an account in words of (someone or something), including all the relevant characteristics, qualities, or events.Describe key components (such as verifying insurance, financial counseling, coding of documented services provided, and others) and who is responsible (individuals such as coders, registration clerk, and others).Explain the consequences to the organization of failing to fulfill key responsibilities in the revenue cycle process.Explain additional steps and challenges in the revenue cycle process when working with an uninsured patient. Provide information for the new staff regarding options available for the uninsured.Identify any additional steps throughout the revenue cycle that one must be aware of when working with an uninsured patient.Identify the challenges that exist for the revenue cycle due to the delivery of uncompensated care. Guidelines for Effective
    PowerPoint Presentations
    Introduction
    One concern about visual presentations is that the technology
    used to create them can be used in such a way that it actually
    detracts from the message rather than enhances it. To help
    you consider carefully how your message is presented so that
    it reflects care, quality, and professionalism, consider the
    information provided in the remaining slides.
    NOTE: This presentation serves as an example in itself, by
    utilizing all of the guidelines mentioned.
    Outline
    The following topics will be covered:
    ▪ Writing
    ▪ Bullets
    ▪ Organization
    ▪ Tables
    ▪ Audience
    ▪ Font
    ▪ Design
    ▪ Speaker Notes
    ▪ Images
    Writing
    ▪ Present ideas succinctly with lean prose.
    ▪ Use short sentences.
    ▪ Use active, rather than passive voice.
    ▪ Avoid negative statements, if possible.
    ▪ Avoid double negative entirely.
    ▪ Check spelling and grammar.
    ▪ Use consistent capitalization rules.
    Organization
    ▪ Develop a clear, strategic introduction to provide context
    for the presentation.
    ▪ Develop an agenda or outline slide to provide a roadmap
    for the presentation.
    ▪ Group relevant pieces of information together.
    ▪ Integrate legends and keys with charts and tables.
    ▪ Organize slides in logical order.
    ▪ Present one concept or idea per slide.
    ▪ Use only one conclusion slide to recap main ideas.
    Audience
    ▪ Present information at language level of intended audience.
    ▪ Do not use jargon or field-specific language.
    ▪ Follow the 70% rule—If it does not apply to 70% of your
    audience, present it to individuals at a different time.
    Design
    ▪ Use a consistent design throughout the presentation.
    ▪ Keep layout and other features consistent.
    ▪ Use the master slide design feature to ensure consistency.
    ▪ Use consistent horizontal and vertical alignment of slide
    elements throughout the presentation.
    ▪ Leave ample space around images and text.
    Images
    ▪ When applicable, enhance text-only slide content by
    developing relevant images for your presentation.
    ▪ Do not use gratuitous graphics on each slide.
    ▪ Use animations only when needed to enhance meaning. If
    selected, use them sparingly and consistently.
    Bullets
    ▪ Use bullets unless showing rank or sequence of items.
    ▪ If possible, use no more than five bullet points and eight
    lines of text total per slide.
    Tables
    ▪ Use simple tables to show numbers, with no more than 4
    rows x 4 columns.
    ▪ Reserve more detailed tables for a written summary.
    Font
    ▪ Keep font size at 24 point or above for slide titles.
    ▪ Keep font size at 18 or above for headings and explanatory
    text.
    ▪ Use sans serif fonts such as Arial or Verdana.
    ▪ Use ample contrast between backgrounds and text.
    Speaker Notes
    ▪ Summarize key information.
    ▪ Provide explanation.
    ▪ Discuss application and implication to the field, discipline or
    work setting.
    ▪ Document the narration you would use with each slide.

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