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    RCM CYCLE - Revenue Cycle Management

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    samual prakash
    RCM is useful for understanding the lifecycle of a medical claim from when a patient schedules treatment through payment posting or denial troubleshooting. The key stages include preregistration to check eligibility, recording the encounter and medical transcription, coding diagnoses and procedures, submitting the claim form to insurance which may pay or deny the claim, leading to payment posting or accounts receivable callers resolving denials.

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    RCM CYCLE - Revenue Cycle Management

    Uploaded by

    samual prakash
    20 views1 page
    RCM is useful for understanding the lifecycle of a medical claim from when a patient schedules treatment through payment posting or denial troubleshooting. The key stages include preregistration to check eligibility, recording the encounter and medical transcription, coding diagnoses and procedures, submitting the claim form to insurance which may pay or deny the claim, leading to payment posting or accounts receivable callers resolving denials.

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    RCM CYCLE -Revenue Cycle Management

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    RCM is useful for understanding the lifecycle of a medical claim from when a patient schedules treatment through payment posting or denial troubleshooting. The key stages include preregistration to check eligibility, recording the encounter and medical transcription, coding diagnoses and procedures, submitting the claim form to insurance which may pay or deny the claim, leading to payment posting or accounts receivable callers resolving denials.

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as txt, pdf, or txt
    20 views1 page

    RCM CYCLE - Revenue Cycle Management

    Uploaded by

    samual prakash
    RCM is useful for understanding the lifecycle of a medical claim from when a patient schedules treatment through payment posting or denial troubleshooting. The key stages include preregistration to check eligibility, recording the encounter and medical transcription, coding diagnoses and procedures, submitting the claim form to insurance which may pay or deny the claim, leading to payment posting or accounts receivable callers resolving denials.

    Copyright:

    © All Rights Reserved
    Download as TXT, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as txt, pdf, or txt
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    RCM CYCLE -revenue cycle management

    rcm is useful to know the life cycle of claim like how it created and how it was
    paid ,
    rcm is useful to locate the if any mistakes that causes the denail

    1) patient-call and schedule the treatment


    2)preregisteration team- they will check the eligiblity , auth,refand medical
    necesseary
    3)demographic - ROI,COB,AOB,personal infromation and emergency contact
    4)encounter- super bill and treatment were recorded
    5)medical trancription- they changed the audio format into data format
    6)coding - dx,px and modifier
    7)charge entry- CDM
    8)claim form - UB04
    9)insurance - claim pass through clearing house
    10)payement posting-EOB
    11) ar caller - we want to solve the call by calling payor

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