What are some of the problems with the revenue cycle

Reference no: EM133292370

Case: A student from an accredited HIM program was given the project of mapping the revenue cycle for a simple outpatient visit to the Community Health Clinic where she was doing her internship. She started with the registration department and determined the clerks were not obtaining copies of insurance cards but were taking the information orally from patients. She then determined that the coding department was using CPT (current procedural terminology) codes that were from the prior year. Finally, in reviewing the remittance advice notice from the insurance carriers she noticed that the patients were never balance billed for the claim amount for which they were responsible.

Question 1) What are some of the problems with the revenue cycle for Community Health Clinic?

Question 2) Outline suggestions for changes to the process for this clinic to improve efficiency of the revenue cycle management.

Question 3) Which departments are responsible for the revenue cycle problems at Community Health Clinic?

Reference no: EM133292370

Questions Cloud

Benefits of learning food preparation or cooking : Learning/teaching food preparation in school Food preparation learning/instruction within a specific race/ethnicity

Does the purpose statement fit logically with the problem : BHA4010 Capella University Is the language nondirectional? Are the questions open ended? Do the questions specify the participants and research site?

What methods were used to recruit study participants : DPH MISC University of Southern Mississippi What methods were used to recruit study participants and Did the investigators collect information on potential

What type of exercise training would be better suited : EXSC 4100 Utah Valley University What type of exercise training would be better suited to improve muscle power, high-velocity resistance training

What are some of the problems with the revenue cycle : HITE 2137 Albany State University What are some of the problems with the revenue cycle for Community Health Clinic

Discuss the problem and at the end of the analysis : EXSC MISC University of Louisiana, Monroe apply the SLEEPE Model of decision making to the problem. You will discuss the problem and at the end of the analysis

Calculate the cmi for each drg and for the average cmi : HIM 2966 Rasmussen College, Florida Calculate the CMI for each DRG and for the average CMI for the Cardiology Department using the CMI Report provided

Prepare a report that addresses specific findings : Prepare a report that addresses specific findings from the worksheet. He'll use your report and graphics in a presentation to the Cardiology Department

What are 3-5 areas that you would recommend : BUSINESS 101 Goodwin College What are 3-5 areas that you would recommend to Manny for the 2022 business plan and explain why? Manny wants you to make a few

User Account

All Pages