SlideShare a Scribd company logo
1 of 2
250 word response AMA format response to classmate
Alsahlawi’s discussion board post below:
Response instructions: provide feedback regarding what
they've identified as working or not working, as well as their
suggestions for improvement. Why do you agree or disagree?
How might you improve their suggested improvement?
Top of Form
The interrelationship between the revenue cycle and
reimbursement are centered around the financial situation of the
organization. A healthcare revenue cycle is the process whereby
institutions manage administrative and clinical functions,
including "identification, management, and collection of patient
service revenue."1 This often begins once a patient makes their
first appointment, up until all payment has been received and
accounted for. Once a patient is seen, and the
healthcare provider enters the correct ICD-10 code, billable fees
are generated in the form of a claim. These are sent to payers
(private or via the government) for reimbursement.1 Healthcare
centers are usually reimbursed for services they provide to
patients, which is the goal of the revenue cycle. Namely, to get
paid for services rendered as soon as possible. Thus, there are
many actors involved in the process- from the
healthcare organization, to the patient, to the insurance
companies.
Two processes that are working are the tracking of claims, and
training of staff. Healthcare centers often have large financial
departments that track revenue cycles, and specifically
reimbursement claims. This is a great process to have, as it
takes the onus of finances off of clinical staff. Another process
that works is the training of staff. By having specialized
administrators and financial counselors working on processing
claims, they can be better prepared if a claim denial happens.
Two processes that could be improved upon are insurance
eligibility, and ICD-10 coding. Providers, in conjunction with
their institution's financial services department, should have to
verify insurance eligibility for their patients in the pre-
registration process. This way, pricing of services can remain
transparent and insurance companies can reimburse quickly.
Another process that needs improvement is ICD-10 coding. By
providing the incorrect code, providers can ultimately disrupt
the reimbursement process. Rather than having too many codes
causing confusion, ICD-10 coding should be readily available to
assist providers.1
Reference
1. RevCycle Intelligence. What is Healthcare Revenue Cycle
Management?
Web. https://revcycleintelligence.com/features/what-is-
healthcare-revenue-cycle-management. Accessed September 10,
2017.
Bottom of Form

More Related Content

Similar to 250 word response AMA format response to classmate Alsahlawi’s dis.docx

Hcd wp-2012-better analysisofrevenuecycleandvbp
Hcd wp-2012-better analysisofrevenuecycleandvbpHcd wp-2012-better analysisofrevenuecycleandvbp
Hcd wp-2012-better analysisofrevenuecycleandvbp
Health Care DataWorks
 
Healthcare Revenue Integrity Strategies
Healthcare Revenue Integrity StrategiesHealthcare Revenue Integrity Strategies
Healthcare Revenue Integrity Strategies
karthik Venkilot
 
Achieving Success with Billing and Collections
Achieving Success with Billing and CollectionsAchieving Success with Billing and Collections
Achieving Success with Billing and Collections
John Mazza
 
Beacon Partners White Paper Understanding Revenue Cycle Strategy
Beacon Partners White Paper Understanding Revenue Cycle StrategyBeacon Partners White Paper Understanding Revenue Cycle Strategy
Beacon Partners White Paper Understanding Revenue Cycle Strategy
pvillacci
 
Much is involved with managing working capital or short-term ass.docx
Much is involved with managing working capital or short-term ass.docxMuch is involved with managing working capital or short-term ass.docx
Much is involved with managing working capital or short-term ass.docx
herthaweston
 

Similar to 250 word response AMA format response to classmate Alsahlawi’s dis.docx (20)

Process Improvement: A Consultant's View of your Healthcare Revenue Cycle | A...
Process Improvement: A Consultant's View of your Healthcare Revenue Cycle | A...Process Improvement: A Consultant's View of your Healthcare Revenue Cycle | A...
Process Improvement: A Consultant's View of your Healthcare Revenue Cycle | A...
 
Hcd wp-2012-better analysisofrevenuecycleandvbp
Hcd wp-2012-better analysisofrevenuecycleandvbpHcd wp-2012-better analysisofrevenuecycleandvbp
Hcd wp-2012-better analysisofrevenuecycleandvbp
 
Healthcare Revenue Integrity Strategies
Healthcare Revenue Integrity StrategiesHealthcare Revenue Integrity Strategies
Healthcare Revenue Integrity Strategies
 
Achieving Success with Billing and Collections
Achieving Success with Billing and CollectionsAchieving Success with Billing and Collections
Achieving Success with Billing and Collections
 
Beacon Partners White Paper Understanding Revenue Cycle Strategy
Beacon Partners White Paper Understanding Revenue Cycle StrategyBeacon Partners White Paper Understanding Revenue Cycle Strategy
Beacon Partners White Paper Understanding Revenue Cycle Strategy
 
Why Revenue Cycle Management Matters For RCM Healthcare Providers.ppt
Why Revenue Cycle Management Matters For RCM Healthcare Providers.pptWhy Revenue Cycle Management Matters For RCM Healthcare Providers.ppt
Why Revenue Cycle Management Matters For RCM Healthcare Providers.ppt
 
Top 5 Challenges Faced by Medical Billing Services and How to Overcome Them
Top 5 Challenges Faced by Medical Billing Services and How to Overcome ThemTop 5 Challenges Faced by Medical Billing Services and How to Overcome Them
Top 5 Challenges Faced by Medical Billing Services and How to Overcome Them
 
How to prevent medical billing claim denials?
How to prevent medical billing claim denials?How to prevent medical billing claim denials?
How to prevent medical billing claim denials?
 
Quick Claimers Inc. - Most Effective Tips for Behavioral Health Billing.pptx
Quick Claimers Inc. - Most Effective Tips for Behavioral Health Billing.pptxQuick Claimers Inc. - Most Effective Tips for Behavioral Health Billing.pptx
Quick Claimers Inc. - Most Effective Tips for Behavioral Health Billing.pptx
 
Guide to Help You Improve Your Medical Office Workflow
Guide to Help You Improve Your Medical Office WorkflowGuide to Help You Improve Your Medical Office Workflow
Guide to Help You Improve Your Medical Office Workflow
 
PPT SHARE.pptx
PPT SHARE.pptxPPT SHARE.pptx
PPT SHARE.pptx
 
Denial Management in Medical Billing.pptx
Denial Management in Medical Billing.pptxDenial Management in Medical Billing.pptx
Denial Management in Medical Billing.pptx
 
Group Practice Revenue Cycle Management Services.pptx
Group Practice Revenue Cycle Management Services.pptxGroup Practice Revenue Cycle Management Services.pptx
Group Practice Revenue Cycle Management Services.pptx
 
Easy Steps To Follow In Medical Billing Process.pptx
Easy Steps To Follow In Medical Billing Process.pptxEasy Steps To Follow In Medical Billing Process.pptx
Easy Steps To Follow In Medical Billing Process.pptx
 
Easy Steps To Follow In Medical Billing Process.pdf
Easy Steps To Follow In Medical Billing Process.pdfEasy Steps To Follow In Medical Billing Process.pdf
Easy Steps To Follow In Medical Billing Process.pdf
 
Much is involved with managing working capital or short-term ass.docx
Much is involved with managing working capital or short-term ass.docxMuch is involved with managing working capital or short-term ass.docx
Much is involved with managing working capital or short-term ass.docx
 
Navigating the Revenue Management Cycle in Healthcare.docx
Navigating the Revenue Management Cycle in Healthcare.docxNavigating the Revenue Management Cycle in Healthcare.docx
Navigating the Revenue Management Cycle in Healthcare.docx
 
Power Your Success in 2023.pdf
Power Your Success in 2023.pdfPower Your Success in 2023.pdf
Power Your Success in 2023.pdf
 
Increasing Reimbursement for Ambulatory Surgical Center (Part 2)
Increasing Reimbursement for Ambulatory Surgical Center (Part 2)Increasing Reimbursement for Ambulatory Surgical Center (Part 2)
Increasing Reimbursement for Ambulatory Surgical Center (Part 2)
 
All You Want to Know About Behavioral Health Billing.pdf
All You Want to Know About Behavioral Health Billing.pdfAll You Want to Know About Behavioral Health Billing.pdf
All You Want to Know About Behavioral Health Billing.pdf
 

More from tamicawaysmith

 Dr. Paul Murray  Bessie Coleman  Jean-Bapiste Bell.docx
 Dr. Paul Murray  Bessie Coleman  Jean-Bapiste Bell.docx Dr. Paul Murray  Bessie Coleman  Jean-Bapiste Bell.docx
 Dr. Paul Murray  Bessie Coleman  Jean-Bapiste Bell.docx
tamicawaysmith
 
⦁One to two paragraph brief summary of the book. ⦁Who is the.docx
⦁One to two paragraph brief summary of the book. ⦁Who is the.docx⦁One to two paragraph brief summary of the book. ⦁Who is the.docx
⦁One to two paragraph brief summary of the book. ⦁Who is the.docx
tamicawaysmith
 
101018, 6(27 PMPage 1 of 65httpsjigsaw.vitalsource.co.docx
101018, 6(27 PMPage 1 of 65httpsjigsaw.vitalsource.co.docx101018, 6(27 PMPage 1 of 65httpsjigsaw.vitalsource.co.docx
101018, 6(27 PMPage 1 of 65httpsjigsaw.vitalsource.co.docx
tamicawaysmith
 
100.0 Criteria10.0 Part 1 PLAAFP The PLAAFP thoroughly an.docx
100.0 Criteria10.0 Part 1 PLAAFP The PLAAFP thoroughly an.docx100.0 Criteria10.0 Part 1 PLAAFP The PLAAFP thoroughly an.docx
100.0 Criteria10.0 Part 1 PLAAFP The PLAAFP thoroughly an.docx
tamicawaysmith
 
100635307FLORIDABUILDINGCODE Sixth Edition(2017).docx
100635307FLORIDABUILDINGCODE Sixth Edition(2017).docx100635307FLORIDABUILDINGCODE Sixth Edition(2017).docx
100635307FLORIDABUILDINGCODE Sixth Edition(2017).docx
tamicawaysmith
 
1003Violence Against WomenVolume 12 Number 11Novembe.docx
1003Violence Against WomenVolume 12 Number 11Novembe.docx1003Violence Against WomenVolume 12 Number 11Novembe.docx
1003Violence Against WomenVolume 12 Number 11Novembe.docx
tamicawaysmith
 
102120151De-Myth-tifying Grading in Sp.docx
102120151De-Myth-tifying Grading             in Sp.docx102120151De-Myth-tifying Grading             in Sp.docx
102120151De-Myth-tifying Grading in Sp.docx
tamicawaysmith
 
100.0 Criteria30.0 Flowchart ContentThe flowchart skillful.docx
100.0 Criteria30.0 Flowchart ContentThe flowchart skillful.docx100.0 Criteria30.0 Flowchart ContentThe flowchart skillful.docx
100.0 Criteria30.0 Flowchart ContentThe flowchart skillful.docx
tamicawaysmith
 
100 words agree or disagree to eac questions Q 1.As her .docx
100 words agree or disagree to eac questions Q 1.As her .docx100 words agree or disagree to eac questions Q 1.As her .docx
100 words agree or disagree to eac questions Q 1.As her .docx
tamicawaysmith
 
101118, 4(36 PMCollection – MSA 603 Strategic Planning for t.docx
101118, 4(36 PMCollection – MSA 603 Strategic Planning for t.docx101118, 4(36 PMCollection – MSA 603 Strategic Planning for t.docx
101118, 4(36 PMCollection – MSA 603 Strategic Planning for t.docx
tamicawaysmith
 
100 words per question, no references needed or quotations. Only a g.docx
100 words per question, no references needed or quotations. Only a g.docx100 words per question, no references needed or quotations. Only a g.docx
100 words per question, no references needed or quotations. Only a g.docx
tamicawaysmith
 
100A 22 4 451A 1034 51B 1000 101C 1100 11D 112.docx
100A 22 4 451A 1034  51B 1000 101C 1100  11D 112.docx100A 22 4 451A 1034  51B 1000 101C 1100  11D 112.docx
100A 22 4 451A 1034 51B 1000 101C 1100 11D 112.docx
tamicawaysmith
 
10122018Week 5 Required Reading and Supplementary Materials - .docx
10122018Week 5 Required Reading and Supplementary Materials - .docx10122018Week 5 Required Reading and Supplementary Materials - .docx
10122018Week 5 Required Reading and Supplementary Materials - .docx
tamicawaysmith
 
101416 526 PMAfter September 11 Our State of Exception by .docx
101416 526 PMAfter September 11 Our State of Exception by .docx101416 526 PMAfter September 11 Our State of Exception by .docx
101416 526 PMAfter September 11 Our State of Exception by .docx
tamicawaysmith
 
100 words per question, no references needed or quotations. Only.docx
100 words per question, no references needed or quotations. Only.docx100 words per question, no references needed or quotations. Only.docx
100 words per question, no references needed or quotations. Only.docx
tamicawaysmith
 

More from tamicawaysmith (20)

(No Plagiarism) Explain the statement Although many leading organi.docx
(No Plagiarism) Explain the statement Although many leading organi.docx(No Plagiarism) Explain the statement Although many leading organi.docx
(No Plagiarism) Explain the statement Although many leading organi.docx
 
 What made you choose this career path What advice do you hav.docx
 What made you choose this career path What advice do you hav.docx What made you choose this career path What advice do you hav.docx
 What made you choose this career path What advice do you hav.docx
 
 Patient Population The student will describe the patient populati.docx
 Patient Population The student will describe the patient populati.docx Patient Population The student will describe the patient populati.docx
 Patient Population The student will describe the patient populati.docx
 
 Dr. Paul Murray  Bessie Coleman  Jean-Bapiste Bell.docx
 Dr. Paul Murray  Bessie Coleman  Jean-Bapiste Bell.docx Dr. Paul Murray  Bessie Coleman  Jean-Bapiste Bell.docx
 Dr. Paul Murray  Bessie Coleman  Jean-Bapiste Bell.docx
 
 In depth analysis of your physical fitness progress  Term p.docx
 In depth analysis of your physical fitness progress  Term p.docx In depth analysis of your physical fitness progress  Term p.docx
 In depth analysis of your physical fitness progress  Term p.docx
 
 Information systems infrastructure evolution and trends  Str.docx
 Information systems infrastructure evolution and trends  Str.docx Information systems infrastructure evolution and trends  Str.docx
 Information systems infrastructure evolution and trends  Str.docx
 
⦁One to two paragraph brief summary of the book. ⦁Who is the.docx
⦁One to two paragraph brief summary of the book. ⦁Who is the.docx⦁One to two paragraph brief summary of the book. ⦁Who is the.docx
⦁One to two paragraph brief summary of the book. ⦁Who is the.docx
 
101018, 6(27 PMPage 1 of 65httpsjigsaw.vitalsource.co.docx
101018, 6(27 PMPage 1 of 65httpsjigsaw.vitalsource.co.docx101018, 6(27 PMPage 1 of 65httpsjigsaw.vitalsource.co.docx
101018, 6(27 PMPage 1 of 65httpsjigsaw.vitalsource.co.docx
 
100.0 Criteria10.0 Part 1 PLAAFP The PLAAFP thoroughly an.docx
100.0 Criteria10.0 Part 1 PLAAFP The PLAAFP thoroughly an.docx100.0 Criteria10.0 Part 1 PLAAFP The PLAAFP thoroughly an.docx
100.0 Criteria10.0 Part 1 PLAAFP The PLAAFP thoroughly an.docx
 
100635307FLORIDABUILDINGCODE Sixth Edition(2017).docx
100635307FLORIDABUILDINGCODE Sixth Edition(2017).docx100635307FLORIDABUILDINGCODE Sixth Edition(2017).docx
100635307FLORIDABUILDINGCODE Sixth Edition(2017).docx
 
1003Violence Against WomenVolume 12 Number 11Novembe.docx
1003Violence Against WomenVolume 12 Number 11Novembe.docx1003Violence Against WomenVolume 12 Number 11Novembe.docx
1003Violence Against WomenVolume 12 Number 11Novembe.docx
 
102120151De-Myth-tifying Grading in Sp.docx
102120151De-Myth-tifying Grading             in Sp.docx102120151De-Myth-tifying Grading             in Sp.docx
102120151De-Myth-tifying Grading in Sp.docx
 
100.0 Criteria30.0 Flowchart ContentThe flowchart skillful.docx
100.0 Criteria30.0 Flowchart ContentThe flowchart skillful.docx100.0 Criteria30.0 Flowchart ContentThe flowchart skillful.docx
100.0 Criteria30.0 Flowchart ContentThe flowchart skillful.docx
 
100 words agree or disagree to eac questions Q 1.As her .docx
100 words agree or disagree to eac questions Q 1.As her .docx100 words agree or disagree to eac questions Q 1.As her .docx
100 words agree or disagree to eac questions Q 1.As her .docx
 
101118, 4(36 PMCollection – MSA 603 Strategic Planning for t.docx
101118, 4(36 PMCollection – MSA 603 Strategic Planning for t.docx101118, 4(36 PMCollection – MSA 603 Strategic Planning for t.docx
101118, 4(36 PMCollection – MSA 603 Strategic Planning for t.docx
 
100 words per question, no references needed or quotations. Only a g.docx
100 words per question, no references needed or quotations. Only a g.docx100 words per question, no references needed or quotations. Only a g.docx
100 words per question, no references needed or quotations. Only a g.docx
 
100A 22 4 451A 1034 51B 1000 101C 1100 11D 112.docx
100A 22 4 451A 1034  51B 1000 101C 1100  11D 112.docx100A 22 4 451A 1034  51B 1000 101C 1100  11D 112.docx
100A 22 4 451A 1034 51B 1000 101C 1100 11D 112.docx
 
10122018Week 5 Required Reading and Supplementary Materials - .docx
10122018Week 5 Required Reading and Supplementary Materials - .docx10122018Week 5 Required Reading and Supplementary Materials - .docx
10122018Week 5 Required Reading and Supplementary Materials - .docx
 
101416 526 PMAfter September 11 Our State of Exception by .docx
101416 526 PMAfter September 11 Our State of Exception by .docx101416 526 PMAfter September 11 Our State of Exception by .docx
101416 526 PMAfter September 11 Our State of Exception by .docx
 
100 words per question, no references needed or quotations. Only.docx
100 words per question, no references needed or quotations. Only.docx100 words per question, no references needed or quotations. Only.docx
100 words per question, no references needed or quotations. Only.docx
 

Recently uploaded

Making and Justifying Mathematical Decisions.pdf
Making and Justifying Mathematical Decisions.pdfMaking and Justifying Mathematical Decisions.pdf
Making and Justifying Mathematical Decisions.pdf
Chris Hunter
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
ciinovamais
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi  6.pdf1029-Danh muc Sach Giao Khoa khoi  6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf
QucHHunhnh
 

Recently uploaded (20)

Class 11th Physics NEET formula sheet pdf
Class 11th Physics NEET formula sheet pdfClass 11th Physics NEET formula sheet pdf
Class 11th Physics NEET formula sheet pdf
 
Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1Código Creativo y Arte de Software | Unidad 1
Código Creativo y Arte de Software | Unidad 1
 
psychiatric nursing HISTORY COLLECTION .docx
psychiatric  nursing HISTORY  COLLECTION  .docxpsychiatric  nursing HISTORY  COLLECTION  .docx
psychiatric nursing HISTORY COLLECTION .docx
 
Accessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impactAccessible design: Minimum effort, maximum impact
Accessible design: Minimum effort, maximum impact
 
microwave assisted reaction. General introduction
microwave assisted reaction. General introductionmicrowave assisted reaction. General introduction
microwave assisted reaction. General introduction
 
Mattingly "AI & Prompt Design: The Basics of Prompt Design"
Mattingly "AI & Prompt Design: The Basics of Prompt Design"Mattingly "AI & Prompt Design: The Basics of Prompt Design"
Mattingly "AI & Prompt Design: The Basics of Prompt Design"
 
Unit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptxUnit-IV; Professional Sales Representative (PSR).pptx
Unit-IV; Professional Sales Representative (PSR).pptx
 
Making and Justifying Mathematical Decisions.pdf
Making and Justifying Mathematical Decisions.pdfMaking and Justifying Mathematical Decisions.pdf
Making and Justifying Mathematical Decisions.pdf
 
Activity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdfActivity 01 - Artificial Culture (1).pdf
Activity 01 - Artificial Culture (1).pdf
 
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptxINDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
INDIA QUIZ 2024 RLAC DELHI UNIVERSITY.pptx
 
Paris 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activityParis 2024 Olympic Geographies - an activity
Paris 2024 Olympic Geographies - an activity
 
Nutritional Needs Presentation - HLTH 104
Nutritional Needs Presentation - HLTH 104Nutritional Needs Presentation - HLTH 104
Nutritional Needs Presentation - HLTH 104
 
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17  How to Extend Models Using Mixin ClassesMixin Classes in Odoo 17  How to Extend Models Using Mixin Classes
Mixin Classes in Odoo 17 How to Extend Models Using Mixin Classes
 
Z Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot GraphZ Score,T Score, Percential Rank and Box Plot Graph
Z Score,T Score, Percential Rank and Box Plot Graph
 
Holdier Curriculum Vitae (April 2024).pdf
Holdier Curriculum Vitae (April 2024).pdfHoldier Curriculum Vitae (April 2024).pdf
Holdier Curriculum Vitae (April 2024).pdf
 
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptxBasic Civil Engineering first year Notes- Chapter 4 Building.pptx
Basic Civil Engineering first year Notes- Chapter 4 Building.pptx
 
How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17How to Give a Domain for a Field in Odoo 17
How to Give a Domain for a Field in Odoo 17
 
Grant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy ConsultingGrant Readiness 101 TechSoup and Remy Consulting
Grant Readiness 101 TechSoup and Remy Consulting
 
1029-Danh muc Sach Giao Khoa khoi 6.pdf
1029-Danh muc Sach Giao Khoa khoi  6.pdf1029-Danh muc Sach Giao Khoa khoi  6.pdf
1029-Danh muc Sach Giao Khoa khoi 6.pdf
 
APM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across SectorsAPM Welcome, APM North West Network Conference, Synergies Across Sectors
APM Welcome, APM North West Network Conference, Synergies Across Sectors
 

250 word response AMA format response to classmate Alsahlawi’s dis.docx

  • 1. 250 word response AMA format response to classmate Alsahlawi’s discussion board post below: Response instructions: provide feedback regarding what they've identified as working or not working, as well as their suggestions for improvement. Why do you agree or disagree? How might you improve their suggested improvement? Top of Form The interrelationship between the revenue cycle and reimbursement are centered around the financial situation of the organization. A healthcare revenue cycle is the process whereby institutions manage administrative and clinical functions, including "identification, management, and collection of patient service revenue."1 This often begins once a patient makes their first appointment, up until all payment has been received and accounted for. Once a patient is seen, and the healthcare provider enters the correct ICD-10 code, billable fees are generated in the form of a claim. These are sent to payers (private or via the government) for reimbursement.1 Healthcare centers are usually reimbursed for services they provide to patients, which is the goal of the revenue cycle. Namely, to get paid for services rendered as soon as possible. Thus, there are many actors involved in the process- from the healthcare organization, to the patient, to the insurance companies. Two processes that are working are the tracking of claims, and training of staff. Healthcare centers often have large financial departments that track revenue cycles, and specifically reimbursement claims. This is a great process to have, as it takes the onus of finances off of clinical staff. Another process that works is the training of staff. By having specialized administrators and financial counselors working on processing
  • 2. claims, they can be better prepared if a claim denial happens. Two processes that could be improved upon are insurance eligibility, and ICD-10 coding. Providers, in conjunction with their institution's financial services department, should have to verify insurance eligibility for their patients in the pre- registration process. This way, pricing of services can remain transparent and insurance companies can reimburse quickly. Another process that needs improvement is ICD-10 coding. By providing the incorrect code, providers can ultimately disrupt the reimbursement process. Rather than having too many codes causing confusion, ICD-10 coding should be readily available to assist providers.1 Reference 1. RevCycle Intelligence. What is Healthcare Revenue Cycle Management? Web. https://revcycleintelligence.com/features/what-is- healthcare-revenue-cycle-management. Accessed September 10, 2017. Bottom of Form