Revenue Cycle refers to all the administrative and clinical functions, processes, and software applications that contribute and manage the registration, charging, billing, payment and collection tasks associated with a patient encounter
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 responsibilities include:
- Charge Capture
- Price Transparency
- Strategic Planning
- CDM Maintenance
- Provider Enrollment
- Coding
- Clinical Documentation Integrity
- Claim Submission
- Remittance Processing
- Insurance Follow-Up
- Denial Management and Prevention
- Patient Collections
- Customer Service
- Financial Assistance
Terri Meier, CHFP, CRCR, LSSGB
Assistant Vice Chancellor Revenue Cycle