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Discuss the impact of any failure in the claims production and claims submission areas of the revenue cycle
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- briefly describe a strategic planning, staffing impact, reimbursement compliance and revenue cycle process in healthcare reimbursementExplain how the patient perspective of revenue cycle is like the provider perspective revenue cycle in ensuring revenue integrity.Analyze the revenue-cycle errors that may occur in internal and external workflows that can impact a healthcare organization’s cash flow and financial strength.
- Describe how patient perception towards payment can affect the revenue cycle for a healthcare organizationExplain how the provider’s perspective revenue cycle differs from the patient's perspective revenue cycle in ensuring revenue integrity.If a participating provider submits a claim in excess of the maximum allowed in the fee schedule, the provider Can bill MCO for the balance Can bill the member a. b. C. Agrees not to collect the difference from either the MCO or member d. Agrees not to collect until the member pays the deductible
- What are the three common regulatory requirements for federal, state, and third-party payersExplain the steps of the healthcare billing revenue cycle. Which of these steps is the most important, and why?Explain how the patient perspective revenue cysle differs from the provider perspective revenue cycle in ensuring revenue integrity