Healthcare Revenue Cycle Deep Dive
Gain a comprehensive understanding of the healthcare revenue cycle, from patient intake through final payment, and learn how operational processes directly impact financial performance, cash flow, and revenue integrity.
Course Description
The healthcare revenue cycle is a complex, end-to-end process that directly impacts an organization’s financial performance, cash flow, and revenue integrity. This course provides a comprehensive overview of the full cycle—from patient scheduling and insurance verification through coding, billing, collections, and final payment—highlighting how each step contributes to accurate revenue recognition and timely cash collection. It also examines how operational breakdowns, particularly in the early stages, can lead to denials, delays, and revenue leakage.
Designed for accounting and finance professionals, the course connects operational workflows to financial outcomes by exploring key concepts such as accounts receivable management, contractual adjustments, and performance metrics like days in AR and collection rates. Through practical examples and a real-world case study, you will gain insight into how healthcare organizations can improve efficiency, reduce risk, and strengthen financial results through better processes, technology, data analytics, and cross-functional collaboration.
In this course, you'll learn...
Course Objectives
To describe each stage of the healthcare revenue cycle and its financial impact
To identify key risks and control breakdowns across the revenue cycle
To recognize common operational and financial KPIs used to measure performance
To apply practical strategies to improve revenue cycle efficiency and cash flow
How you'll apply these skills...
Identify Revenue Cycle Risks: Recognize breakdowns across front-end, coding, billing, and collections processes
Evaluate Financial Impact: Assess how operational issues affect revenue, cash flow, and accounts receivable
Improve Claims Accuracy: Analyze common causes of denials and implement strategies to reduce rework
Strengthen AR Management: Monitor aging, follow-up processes, and collection performance
Apply Key Performance Metrics: Use KPIs like days in AR and net collection rate to evaluate efficiency
Support Revenue Recognition: Align operational data with accurate revenue and allowance estimates
Enhance Process Efficiency: Recommend improvements across workflows, systems, and controls
Drive Cross-Functional Alignment: Collaborate with clinical, operational, and billing teams to improve outcomes
Course Instructor
Michael Carroll, CPA, CISA, CISM
Michael is an accounting and information security professional. He is also an Adjunct Professor at several higher education institutions, where he is responsible for teaching various accounting and information technology courses.
Michael earned his MBA in Accounting and B.S. in Accounting / Accounting Information Systems from Canisius University. Additionally, Michael is a Certified Public Accountant (CPA) and a Certified Information Systems Security Professional (CISSP). Michael is a current member of the NYCPA’s Education Committee and has been an Advisory Board Member for the Academy of Finance (AOF) since 2020.
Michael enjoys traveling, hiking, and watching the Buffalo Bills. He has also participated in several marathon events.
Course Content
Additional Info
Format
5-20 min. videos, 6 quizzes, and a final assessment
Field of study
Accounting
CPE Credits
CPEs 3.5
Prerequisites
Recommended completion of the foundational courses of Wisdify’s Healthcare Accounting Series.