Best Practice (Patient Centric) Revenue Cycle Overview Flashcards
What are the three segments of the revenue cycle?
Pre-Service, Time-of-Service, and Post-Service
What are the three segments of the revenue cycle?
Pre-Service, Time-of-Service, and Post-Service
What activities are included in the pre-service segment for scheduled patients?
Scheduling, pre-access processing, pre-registration, and data collection.
What happens during the time-of-service segment for scheduled patients?
Final review, patient identification, activation of pre-registration, signing of consents, and collection of co-payments or agreed amounts.
What additional activities occur for unscheduled patients during the time-of-service segment?
Comprehensive registration and financial processing.
What are the key activities in the post-service segment?
Account activities after discharge until the account reaches a zero balance.
What does “Engaging The Consumer” involve in the revenue cycle?
Scheduling, pre-registration, insurance verification, pre-certification, price estimation, financial counseling, and cashiering.
What is included in “Engaging The Patient” during the revenue cycle?
Patient arrival, validation & activation, financial clearance, patient care delivery, clinical documentation & revenue recognition, and case/referral management.
What processes are part of “Engaging The Customer” in the revenue cycle?
Claim processing, remittance processing, denial processing, payer payment analysis, third-party follow-up, customer service, self-pay collection, and collection agency.
