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Revenue Cycle Services

What is the Revenue Cycle?
"The processes within a facility, supported by technology, to secure net revenue."

Patient Scheduling and customer service   —Patient registration   —Case management
—Health information management   —Payment processing and posting   —Billing
—Collections and patient follow-up   —Bad debt management  —Charge Capture Integrity Program

 
Select Health can provide expert advice on your revenue cycle processes, including Patient Access, Linkage Functions (such as coding, charge capture, CDM and HIM support), and Business Office Functions.
Patient Registration—Patient Access
  • Patient Scheduling
  • Insurance Verification - Pre-certification
  • Pre-registration
  • Financial Counseling
  • Front Desk/Registration
  • Discharge Processing
  • Cashier Functions
  • Collection of copays, deductibles and past due balances
  • Concurrent Inpatient Financial Evaluation
  • Customer Service
  • Governmental Program Regulations
  • Managed Care and Insurance Matrix
  • Quality Control and Error Tracking
  • Edit Reports
  • Staff training and education
  • Technology Application
  • HIPAA Regulatory Standards and Requirements 

Linkage Function
  • Coding, Record Documentation, Abstracting
  • Charge Capture/Charge Description Master
  • Charge Capture Integrity Program

Business Office Functions
  • Patient Statement and Insurance Claim Processing
  • Remittance and Adjustment processing
  • Denial Processing and Management
  • Third-party Follow-up
  • Payer Payment Analysis
  • Self-pay collection
  • Bad Debt Management
  • Quality control and error tracking
  • DNFB Monitoring
  • Billing Rejections
  • Backlog Tracking
  • Credit Balance Management
  • Unapplied Cash Activity Management
  • AR Trend: Tracking and Reporting
  • Staff Training and Organization
  • Department Organization
  • Compliance Monitoring
  • Technology Application
  • HIPAA Regulatory Standards and Requirements
 

Contact us today for help with your revenue cycle needs.