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Revenue Cycle Management

Revenue Cycle Management Appointment Scheduling The Patients are given appointments according to their convenience and ther physicians availability. Patient Patient Registration The det ails about the patient such as the medical hist ory, the insurance information and all other necessary det ails is saved into the records. Collection Agency Third Party Collection Agencies are hired to ensure collection of unpaid bills. A/R Follow up Patient Exam This is a process of follow up for claims that are not paid by the insurance companies or the patients within the expected time period. Patient identifies the concerns or problems in the healthcare services provided. The physicians documentations are recorded. Secondary Claims/ Patient Billing Service Coding Ensuring that collection is done from all possible companies where the patient is insured. Claims are edited accordingly. The document ation is encoded by medical coders into the respective codes. Resubmission and Appeals Many companies search for minute reasons for claim denials. They do this to reduce the cash outflow. In resubmission, the denied claims are drafted again in order to suit the requirements of the insurance company. This will help in avoiding denial of claims Charge Entry The appropriate costs according to the codes of the services provided are entered. This det ermines the reimbursement for the physician's service. Claims Submission Payment Processing Accurate and Timely Payment collection is taken care of in this stage. Claims are submitted further on in the cycle through secure and encrypted transmissions. Contributed By: Denise Miller R REDENGINE SYSTEMS RedEngine Systems LLC Piktochart O I make information beautiful

Revenue Cycle Management

shared by DeniseM on Feb 28
Revenue Cycle Management is one of the most important factors that contributes to the improvement in the overall revenue of the organization. The image gives us a brief view of the steps involved in t...




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