Revenue Cycle
Charge capture, insurance, claims and payment.
18 steps · 10 questions · 6 screens on this shelf
The screens on this shelf
Records
Charge Capture
What was done becomes what is billed. Captured from laboratory, imaging and theatre.
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Claims
Built, scrubbed, submitted and adjudicated. What the patient owes becomes a receivable in Accounting.
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Records
Insurance Verification
Coverage on file, and whether it has been verified. A claim will not pass the scrub without it.
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Records
Payers
Who is billed, and how long they typically take to pay.
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Report
Revenue by Payer
Billed, paid, outstanding, denial rate and collection rate.
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Records
Denial Work Queue
Every denied or rejected claim, opened as a piece of work by the overnight job, with what kind of denial it is and what usually fixes it. Resubmitting sends the corrected claim -- as a replacement when the payer had already adjudicated it.
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Progress is kept in this browser only — it is not sent anywhere and nobody else can see it.