Revenue Cycle refers to the series of activities that connect the services rendered by a healthcare provider with the methods by which the provider receives compensation for those services.
Revenue Cycle Management (RCM) unifies the business and clinical sides of the patient encounter by joining administrative data (patient demographics) with the patient care/treatment and healthcare data (documentation of services provided and outcomes) from order (physician or self referral) to the final payment of a balance.
Areas of revenue cycle management responsibility include:
- Pre-Registration
- Financial Clearance
- Patient Estimates
- Charge Capture
- Provider Enrollment
- Coding
- Claim Submission
- Remittance Processing
- Insurance Follow-Up
- Denial Management
- Patient Collections
- Customer Service
Terri Meier, CHFP, CRCR, LSSGB
Assistant Vice Chancellor Revenue Cycle