QBRS study plan
QBRS · Give each week a clear focus.
8 weeks · About 6 hours per week
Revenue Cycle Fundamentals & Coding and Charge Capture
Map the end-to-end revenue cycle into a one-page flow diagram from preregistration through final payment posting
Define and correctly sequence the ten core revenue cycle terms (preregistration, eligibility, charge capture, coding, claim scrub, submission, adjudication, remittance, denial, write-off)
Describe how charge capture feeds coding and explain the consequence of a missed charge on days in A/R
Distinguish the major code set families (diagnosis, procedure, and supply/charge codes) by what each is used for on a claim
Your checkpoint
A labeled revenue cycle flow diagram plus a 20-term glossary with a self-graded 15-question quiz scoring 80% or higher
Coding and Charge Capture
Trace a clinical encounter to its correct procedure and diagnosis code categories without assigning codes from memory
Identify the top five documentation gaps that cause coding queries and describe the query process for each
Explain the relationship between coding accuracy, claim edits, and downstream denial rates
Apply the concept of charge master maintenance to spot three common charge-capture failure points
Your checkpoint
A one-page coding-to-claim decision tree and a written analysis of five sample documentation scenarios identifying the likely coding issue
Claims Submission and Clearinghouse Operations & Patient Registration and Eligibility Verification
Sequence the claim lifecycle from scrubber through clearinghouse to payer adjudication and remittance
List the standard data elements required for a clean claim and identify which registration fields feed them
Describe how eligibility verification timing (pre-service vs. day-of-service) changes denial exposure
Explain the purpose of common claim edits and how a rejected claim differs from a denied claim
Your checkpoint
A clean-claim checklist cross-referenced to registration data fields, plus a 10-item self-test on claim lifecycle stages scoring 80% or higher
Denial Management and Appeals & Accounts Receivable and Collections
Categorize denials by root cause (registration, coding, eligibility, medical necessity, timely filing) and rank them by typical recoverability
Draft an appeal letter structure for a medical-necessity denial including the evidence elements a payer expects
Compute days in A/R and explain what a rising A/R aging bucket signals about front-end versus back-end performance
Describe the standard appeal timeline and the consequence of missing a filing deadline
Your checkpoint
A denial root-cause tracking template with three fully drafted sample appeals and a worked days-in-A/R calculation
Regulatory Compliance and Fraud, Waste, and Abuse & Patient Registration and Eligibility Verification
Distinguish fraud, waste, and abuse with a concrete example of each in a revenue cycle context
Identify the intent element that separates an honest billing error from a false claim
Explain the purpose and core requirements of the major compliance statutes governing healthcare billing without citing specific penalty amounts
Describe how a compliance program's reporting and audit functions reduce revenue cycle risk
Outline the registration-stage identity and eligibility safeguards that support compliance
Your checkpoint
A compliance quick-reference sheet covering fraud/waste/abuse distinctions and a 15-question self-quiz scoring 85% or higher
Customer Service and Patient Financial Communication & Accounts Receivable and Collections
Explain a patient statement and an explanation of benefits in plain language a patient can act on
Script responses to the three most common patient billing objections (cost confusion, insurance denial, inability to pay)
Describe how point-of-service collections and payment plan options affect A/R aging
Apply empathetic, compliant communication when discussing financial responsibility without guaranteeing coverage
Your checkpoint
Three role-play scripts (cost question, denial question, payment plan request) plus a one-page plain-language patient billing explainer
Revenue Cycle Fundamentals & Coding and Charge Capture & Claims Submission and Clearinghouse Operations & Denial Management and Appeals
Re-synthesize the four heaviest domains into an integrated case walkthrough from registration to appeal
Diagnose where in the cycle a given failure would surface and which team owns the fix
Complete a timed mixed-domain practice set and log every missed item by domain
Convert the top ten missed concepts into flashcards or a one-page cram sheet
Your checkpoint
A full written case walkthrough plus a timed 40-question mixed practice set with a domain-by-domain error log
Revenue Cycle Fundamentals & Patient Registration and Eligibility Verification & Coding and Charge Capture & Claims Submission and Clearinghouse Operations & Denial Management and Appeals & Accounts Receivable and Collections & Regulatory Compliance and Fraud, Waste, and Abuse & Customer Service and Patient Financial Communication
Review every logged error from week 7 and restate the correct concept in your own words
Take two full-length timed practice exams and compare domain scores across attempts
Target the two lowest-scoring domains with focused re-study
Confirm readiness by meeting the score threshold on the final attempt
Your checkpoint
Two completed timed practice exams with score tracking and a final readiness summary identifying remaining weak areas
Milestones
Week 2: Can explain the full revenue cycle flow and coding-to-claim path from memory and score 80% or higher on the week 1-2 self-quizzes
Week 4: Can categorize a denial by root cause, draft an appeal, and compute days in A/R without notes
Week 6: Can pass a 15-question compliance quiz at 85% or higher and deliver all three patient communication scripts cleanly
Week 8: Score at or above your target passing threshold on two consecutive full-length timed practice exams, with no domain below 70%