You are the revenue cycle manager for Joplin Hospice in Joplin, Missouri. You ha

Question

You are the revenue cycle manager for Joplin Hospice in Joplin, Missouri. You have been in the position for only four months. One of the things you have learned is that there is no system in place to monitor the revenue cycle . You have decided to identify 20 important indicators and set up a procedure to monitor these indicators on a regular basis.   

Please construct a table or flowchart listing the 20 indicators you will be using to monitor the revenue cycle at Joplin Hospice. This chart or flowchart should include the process to be used for each indicator and the thresholds that the organization should strive to meet. You should also include your justification for the 20 indicators you have picked to monitor revenue cycle.

You can use the flowchart capability in MSWord or create a table in MSWord or EXCEL for this assignment and then submit it as an attachment with your name and Week 7 - Revenue Cycle at the top.

Explanation / Answer

Lets take example of Revenue cycle Management in Healthcare Industry.

Following is the step by step flow of Revenue cycle Management.

1. Patient Registration

2. Eligibility & Benefit Check

3. Data Entry & Patient Demographics

4. Refferal & Authorization

5. Coding & Billing

6. Charge Posting

7. Claim Submission

8. Clearing House Denail

9. Payment Posting

10. Denial Management

11. Seconday Filing

12. Account Receivable

13. Appeal Procedure

14. Patient Billing

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