Description
This professional document from LBMC Physician Business Solutions, LLC outlines the complete revenue cycle management flow chart for healthcare providers. It visually details the sequential steps from initial patient contact through to final payment collection, including key stages like charge capture, claim submission to insurance companies, remittance processing, and both insurance and patient follow-up for collections. Authored by industry experts Andrew D. McDonald, FACHE, and Kathi Carney, CPC, CPMA, this material serves as a practical guide for understanding the financial operations within medical practices and hospitals. This resource is highly valuable for tertiary-level students, lecturers, and professionals pursuing diplomas, degrees, or certifications in healthcare administration, health services management, medical billing, and health finance. It provides a clear framework for mastering the processes that ensure financial viability and compliance in healthcare organizations. Download this flow chart to enhance your knowledge of efficient revenue cycle operations in the healthcare sector.
What's inside
THE REVENUE CYCLE it starts with billable charges and ends with service reviews PREREGISTRATION collect information before patient arrival REGISTRATION collect subsequent patient information during registration CHARGE CAPTURE render medical services into billable charges CLAIM SUBMISSION submit claims of biliable fees to insurance companies REMITTANCE PROCESSING apply/reject payments through remittance processing INSURANCE FOLLOW-UP collect payments from third-party insurers PATIENT COLLECTIONS determine patient balances and collect payments Healthcare Revenue Cycle Management Flow Chart Contact: Andrew D. McDonald, FACHE Shareholder, Practice Leader LBMC Physician Business Solutions, LLC and Healthcare Consulting andrew.mcdonald@lbmc.com T (615) 309-2474 Kathi Carney, CPC, CPMA, CPC-I, CHC Executive Director LBMC Physician Business Solutions, LLC kathi.carney@lbmc.com T (615) 309-2437
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