What are some of the problems with the revenue cycle

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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

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