Revenue Cycle Management
Process Resource Center
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1.0 Office Engagement
1.1 Pre-Arrival
1.2 Demographics Entry
1.3 Day of Visit
2.0 Billing
2.1 Surgery and Consult: Charge Capture
2.2 Surgery and Consult: Coding
2.3 Office Visit Charges
2.4 Charge Entry
2.5 Claims Creation / Submission
3.0 Payments
3.1 Retrieval of Payments
3.2 Posting ERAs
3.3 Posting Checks
3.4 Deductibles
4.0 Follow-Up
4.1 Paper Correspondence
4.2 Worklists (Insurance)
4.2a Denials
4.3 Appeals ▼
4.3.1 Personal Injury Protection
4.3.2 Commercial
4.3.3 Workers' Compensation
4.3.4 Medicare
4.4 Third Party Negotiations
4.5 Patient Statements
4.6 Patient Worklists / Accounts Receivable
4.7 Overpayments
4.8 Patients with Checks
Reference
RCM Process Management Contacts
RCM Reports
Reference Library
