Appointment Scheduling - The patient schedules an appointment with the hospital or the doctor for treatment, Eligibility Verification - The hospital administration collects the medical insurance details of the patient and verifies eligibility it with the medical insurance company, Registration/Demo Entry - Upon verification of patient's insurance details, the patient is registered for treatment with the hospital., Doctor’s Encounter - When the registered patient gets to meet the doctor for treatment, Medical Transcription - The diagnosis and treatment given by the doctor is recorded and is further transcribed into a text format for documentation, Coding - Once the transcription is received, all the healthcare diagnosis, procedures, medical services, and the equipment involved are translated to standard Medical Codes, Charge Entry - All the services provided are billed on a claim form with the help medical codes, Claim Processing/ Submission - The insurance company reviews and processes these claims as per the terms and conditions of the insurance company, Payment Posting - All the payments details from the insurance company and the patient are tracked as received or pending or denied, AR Follow-up - a follow-up is required for all the claims which get denied or no response is received to extract possible payment,

RCM Cycle

طباعة
تضمين

لوحة الصدارة

النمط البصري

الخيارات

تبديل القالب

استعادة الحفظ التلقائي: ؟