Print ISBN # 978-1-56829-677-7
How does the revenue cycle of a medical practice actually work? It is easy to get lost in all the phases of revenue management, so how does a practice keep it all straight? Proven solutions to optimize revenue cycle are the key, and this primer is a business-critical resource to deliver just that. Whether you’re new to managing the revenue cycle or a seasoned professional, the concepts covered in these pages are key to your success.
Written by Shawntea Moheiser, CMPE, CMOM, and Kem Tolliver, CMPE, CPC, CMOM.
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TABLE OF CONTENTS
Chapter 1: Defining the Revenue Cycle Model (RCM)
Chapter 2: Practice Preparation: Are You Planning to Fail?
Chapter 3: Scheduling & Pre-registration
Chapter 4: Eligibility, Referrals, & Authorizations
Chapter 5: Appointment Confirmations
Chapter 6: Check-In & Time-of-Service Collections
Chapter 7: Documentation & Coding Background
Chapter 8: Charge Entry
Chapter 9: Claims Preparation & Submission
Chapter 10: Deposit Management & Internal Controls
Chapter 11: Payment Posting
Chapter 12: Denial Management
Chapter 13: Insurance A/R Follow-Up
Chapter 14: Patient A/R & Follow Up
Chapter 15: Reporting
Chapter 16: Compliance & Risk Management
Chapter 17: Conducting an Internal Revenue Cycle Assessment
Chapter 18: Change Management
About the Authors
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