Changing The Revenue Cycle Process In Hospitals

Abstract: A 99 page paper. The revenue cycle is the process by which services are provided, charges are made, cash is generated. It includes all the functions from scheduling the patient through final bill resolution. Medical practices, hospitals and other health care facilities lose money because claims are denied. This paper addresses numerous issues involved in the revenue cycle. Some of the many topics discussed include: the Balanced Budget Acts; the cash flow and revenue cycle as it applies to hospitals and physician medical practices; how the HCFA, APC & HIPAA Affect the Revenue Cycle; the definitions of medical necessity and medical benefits according to health plans; the major causes for claim denials; a multitude of steps and approaches to decrease claim denials and improve revenue cycles; liability and appeals; and a special section of improving registration processes to improve the revenue cycle. bibliography lists 26 sources.

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Catagory: Disease, Treatment, & Epidemiology

Subcatagory: Medicine, Medical Issues, & Pharmacy

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