Would look for different functionality for hospital billing

Reference no: EM133484910

Assignment:

(1.) There are many different RCM softwares available to help health care organizations manage their revenue cycle. A few include NextGen, Athena, OneChart, Epic, Meditech, Greenway, Allscripts, Cerner, GE Healthcare.

What are some functionalities that you would want in a billing software to help with RCM and claim submission?

Would you look for different functionality for hospital billing vs Practice billing? Explain.

(2.) Covered Services are included on the schedule of benefits. Some examples of these services are preventive care, emergency care, surgery, specialists, etc. These are benefits included in the plan. Non-covered services are those services that the plan will not pay for. These are also known as excluded services (Valerius, Bayes, Newby, & Blockowaik, 2017).

What are some examples of services what may not be covered? Why is it important to know what's covered and what's not?

ANSWER BOTH QUESTIONS, include citations and references, and contribute to moving the discussion forward.

Reference no: EM133484910

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