Revenue Cycle

Charge capture, insurance, claims and payment.

18 steps · 10 questions · 5 screens on this shelf

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The screens on this shelf

• Charge Capture What was done becomes what is billed. Captured from laboratory, imaging and theatre.
• Claims Built, scrubbed, submitted and adjudicated. What the patient owes becomes a receivable in Accounting.
• Insurance Verification Coverage on file, and whether it has been verified. A claim will not pass the scrub without it.
• Payers Who is billed, and how long they typically take to pay.
• Revenue by Payer Billed, paid, outstanding, denial rate and collection rate.

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