REVENUE CYCLE MANAGEMENT NEWS

The healthcare revenue cycle relates to all of the processes, subprocesses and enabling technologies associated with the initial patient registration through the collection of the amounts due. The impacted areas are inclusive of:

- Pre-Registration/Registration
- Financial Counseling/Insurance   Verification
- Charge/Visit Processing
- Third-Party/Patient Bill
  Qualification/Billing
- Account Follow-Up/Inquiry
- Utilization Review/Case Management
- Correspondence
- Data Request Compliance
- Payment Processing/Posting
- Allowance (and Voucher/Remittance)   Processing
- Bad Debt Management
- Management Reporting/Usage

Listed below are CBIZ's Revenue Cycle Management programs.

- Revenue Cycle Indices Assessment
- Revenue Cycle Management
  Operational   Assessment
- Cash Flow Acceleration Assistance
- Contract Review and Performance
  Analysis
- Operational/Organizational
  Reengineering - Other Services

REVENUE CYCLE MANAGEMENT (RCM)

- Revenue Cycle Management Core Functions:

  • Scheduling/Eligibility Patient Reg
  • 24 hour inbound call support
  • Patient Eligiblity Verification to both plan and benefits
  • Data entry Support

- Point of Service Patient Collections

- Charge Entry/Cash Posting/Denials Analysis
  
  • Data entry Support
  • Payor Fee Schedule Input and ongoing management
  • Detailed denials analysis
  • Benchmark and reduction planning

- A/R Follow Up Phase 1
  
  • 1st party follow up phone calls to patients and payors
  • Detailed account status reporting
  
- A/R Follow Up Phase 2
  
  • Follow up on all uncollected accounts
  • Post collections activity by current outsourced vendor
  • Leave no money on the table