Fundamentals of Revenue Cycle Management in Healthcare Organizations: Approval phase

Introduction

Take This Course

This course introduces the essential concepts of Revenue Cycle Management (RCM) with a focused overview of the approval phase and its impact on healthcare financial performance. Participants will learn key insurance approval terminology, evaluate coverage criteria, and identify policy exclusions while addressing regulatory challenges. The course also covers approval workflow optimization and provides practical guidance on developing and analyzing approval-related KPIs to assess and improve departmental performance.

Objectives

1- Recognize the concept of Revenue Cycle Management (RCM) and its importance in healthcare operations, as well as the role and significance of the approval phase within the RCM process.
2- Recognize insurance approval terminology and processes in-depth.
3- Evaluate coverage criteria to determine whether a treatment aligns with policy requirements.
4- Identify items of exclusions and address challenges related to healthcare regulatory projects, such as NPHIES.
5- Explain Approval Processes and Workflow Optimization
6- Develop and analyze approval-related KPIs and effectively evaluate the performance of the Approval Department and its employees.

Main theme

- The course is delivered through pre-recorded video clips, designed to be concise and easy to follow. Participants can access the content at their own pace.
- Learning will be assessed through a pre- and post-course exam to measure knowledge improvement and understanding of key concepts.
- The materials will be available to watch from 20/11/2025
- Purchase of the course grants you 6 weeks access to all recorded videos.
- Course Language: English & Arabic

VAT Included
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