Module A: Operating Revenues

CE Credits: 1.5


As the healthcare landscape continue to change, thanks to factors such as the Affordable Care Act and Medicare, hospitals need to be vigilant in how they manage the business of care. This module lays the foundation for how hospitals can create financial health, so that they can stay in business while also offering optimum care for patients. That begins with creating a solid organizational mission and embracing a value-
based payment system. This module then details how a hospital might identify and deal with various obstacles to its own solvency, and foster a system that will lead to its ongoing success.

Learning objectives: After completing this module case managers will be able to:
» Address the imperative need for revenue to deliver services and provide quality care
» Discuss the importance of organizational mission and culture in financial management
» Discuss the impact of value based payments (VBP)
» Identify the pressures of and obstacles to staying solvent
» Describe the components necessary for a financially healthy organization


Advance your professional practice: practice: Case managers have become an integral player in helping hospitals achieve and maintain financial health. By understanding the basics of the revenue cycle, we can solidify our role as agents of positive change.

Improve organizational performance: Acute care during hospital stays is the most expensive form of care in healthcare. When all transdisciplinary team members understand the scope of the revenue cycle, we can work together to make it as efficient and effective as possible.