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Revenue Cycle Management
Process Resource Center

Visual Transparency, Systemic Integrity, Continuous Improvement

2.5 Claims Creation/Submission

Suppliers

Inputs

Requirements
     
     
     
     
     
     

Primary Deliverables

Customers

Requirements

Outcomes
       
       
       
       
       
       

Measures

Dashboard (TBD)
   
   
   
   
   
   

(R)esponsible

(The Doers) - Those who do the work to achieve the task. There is at least one role with a participation type of Responsible.

(A)ccountable

(The Buck Stops Here) - The one ultimately answerable for correctness and thoroughness of the completed task.

(S)upport

Those who can provide resources or can play a supporting role in implementation.

(C)onsult

Those whose opinions are sought, typically subject matter experts. Two-way communication.

(I)nform

Those kept up to date on progress with whom there is one-way communication.

Work Unprocessable Report

  • Go to Archive
  • Print UN Processable List
  • Work errors

    • Example of errors: Wrong ID numbers, Payor IDS & Referring providers all can be found in the Clients EMR System.

  • Once claim is fixed you can move on to the next one.

    ☝ You do not need to refile claim – it will automatically go on the next process.
Claims Creation/Submission View document showing how to Run a Process See how to Work Unprocessable Report View document for Submitting Claims Electonically View document: How to Attach Documents in iHCFA View document showing How to Print HCFAs

 

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