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

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