Patient Financial Service Delivery (Health Information Management)

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Presentation transcript:

Patient Financial Service Delivery (Health Information Management) Revenue Cycle Definition Other Non-Acute Physician Patient Access Patient Financial Service Delivery (Health Information Management) Revenue Realization Acute Initial and Extended Authorizations Release of Information Point-of-Service Collections Claim Editing and Submission Patient Follow-up Functions Core Denials Management and Appeals Coding, Quality, Clinical Documentation Registration and Admissions Insurance Verification Correspondence Payment Variance Resolution Bill Hold Resolution Exception Based Follow-up Financial Counseling Transaction Processing Pre-Registration Core Functions Spanning the Revenue Cycle Charge Description Master Maintenance / Pricing Coordination, Customer Service, Managed Care Coordination and Vendor Performance Management Adjacent Functions Spanning the Revenue Cycle Managed Care Contracting, Pricing and Physician Credentialing Referral Adjacent Functions Scheduling Charging Utilization Review Abstracting Check-Out Assembly and Analysis Case Management/ Discharge Planning Physician Record Completion Transcription Supporting Functions Information Technology Services, Human Resources, Supply Chain Management, Corporate Compliance and Finance