Revenue Cycle Management (RCM) End to End
The provider-side process from scheduling to final payment: front-end, mid-cycle and back-end steps, and the KPIs that measure them.
Revenue Cycle Management (RCM) End to End
Coming soon. This post is a placeholder in the US Healthcare learning path. The outline below is what it will cover.
What this post will cover
- Front end: scheduling, registration, eligibility and prior authorization
- Mid-cycle: charge capture, clinical documentation and coding
- Back end: claim submission, denial management, payment posting and patient collections
- Where each X12 transaction fits in the cycle
- KPIs: days in A/R, clean claim rate, denial rate, net collection rate
- Who does the work: in-house teams, RCM vendors and clearinghouses
Further watching
From the HealthTech Decoded channel:
Where this fits
Level 2 · Core workflows › Revenue cycle, coding and claims
This post is licensed under CC BY 4.0 by the author.