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Patient Access Specialist


Language: English Description: The Patient Access Specialist course is one of five courses comprising the Patient Access Specialist certification program. Patient Access Specialists represent the front line of the healthcare service for patients entering a practice, hospital or clinic with a constant eye toward excellent customer services and the overarching goal of achieving a positive experience for the patient. The Patient Access Specialist plays a key role for any provider and works as a strong team player in a dynamic, fast-paced, patient-centered practice. To be successful in this field, Patient Access Specialists must possess strong communication skills, an understanding of medical terminology and anatomy as well as a comprehensive understanding of the importance of the revenue cycle and medical insurance options available to patients. A clear understanding and successful transmission of information from the patient and medical insurance companies is paramount in guaranteeing prompt administration of medical treatment to the patient and quick financial reimbursement to the medical facility. Throughout the course, offered by our accredited school partners, students will be introduced to the many roles and responsibilities encompassed by the Patient Access Services department in a hospital setting. Students will learn to perform functions essential to the Patient Access Specialist roles including admissions, registration, financial/insurance coverage counseling, pre-certification, patient relations, and scheduling as well as common techniques and methods for success across varying practices. Students will also learn about the delivery of the critical components of the revenue cycle and compliance issues with regulatory agencies. In addition, the course will provide students with an understanding of the role of correct patient identification practices in maintaining patient safety and the need for extraordinary customer service skills in difficult situations. Finally, students will gain the skills and knowledge required to sit for the Certified Healthcare Access Associate certification exam. Enroll through one of our accredited university or college partners today! Instructor Description: This class supported by an Educational Mentor. Educational mentors have worked or are working in the subject they mentor. Educational Mentors review student work, student progress, and interact with students as needed. They respond to any questions or concerns you might have, as well as encouraging and motivating you to succeed. Show Syllabus Hide Syllabus Lesson 1 Lesson 1: Patient Access Fundamentals • Describe the key steps of the revenue cycle • Explain the impact the patient access specialist has on the revenue cycle • Explain the importance of correct patient identification to the revenue cycle • Identify key roles of the patient access specialist in the hospital setting • Describe the different levels of hospital care • Explain census management • Explain the ADT system • Explain various types of insurance plans • Locate correct identifiers on insurance cards • Describe insurance priorities • Describe the documents used by the patient access specialist that help keep the hospital compliant with regulatory agencies • Describe the four types of consent forms used by a hospital • Describe point of service collections • Describe methods to assist patients with medical expenses • Calculate a patient's liability Lesson 2: Customer Service from a Hospital Perspective • Describe customer expectations of a patient access specialist and hospital • Explain why meeting customer expectations is crucial to the organization • Identify internal and external customers of the patient access department • Explain how the patient access department can meet the expectations of both internal and external customers • Define technical competency • Explain how technical competence affects customer satisfaction • Describe communication techniques used by a patient access specialist • Explain why it is important for a patient access specialist to be familiar with age-specific criteria • Describe the risks of communication barriers in the organization and how to overcome them • Define the HEAT technique • Explain what service recovery is and when it may be necessary Lesson 3: Regulatory Agencies and Government Requirements • Describe situations that breach HIPAA standards • Explain what constitutes protected health information • Explain the Minimum Necessary Rule • Describe The Joint Commission's goals • List the seven levels of an effective compliance program • Summarize why EMTALA was created • Describe the effects of EMTALA on the emergency department and labor and delivery • Explain OSHA's standard precautions • List examples of personal protective equipment • Describe patient rights • Describe advance directives • Explain the functions of the Centers for Medicare and Medicaid Services • Describe the purpose of the Medicare Secondary Payer Questionnaire • Articulate when Medicare is not the primary insurance payer Lesson 4: Future Development • Define KPIs • Explain FOCUS-PDCA and Six Sigma • Summarize the importance of collecting and analyzing data within an organization for future development • Summarize the importance of soliciting customer satisfaction through surveys • Explain the importance of patient loyalty • Explain the need for data accuracy and staff education in the Patient Access department • Describe the necessary competencies for the patient access specialist • Define benchmarking • Explain the importance of benchmarking • Describe benchmarking techniques Lesson 5: NAHAM • Describe NAHAM • List NAHAM's organizational goals • List the two certifications available through NAHAM • Describe the benefits of obtaining a NAHAM certification • Describe the NAHAM model • Determine which Patient Access function is in each phase of the NAHAM model • Describe the Certified Healthcare Access Associate (CHAA) exam format • Identify different study techniques that can assist you in preparing for the certification test Hide Syllabus
Course ID/# : 1373/2810288
Tuition: $1,595.00

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