Home > Services > Revenue Cycle Management > Process

THE PROCESS

OUR SYSTEM DELIVERS RESULTS

 

Department B uses a proven, disciplined process for revenue cycle management that establishes clear responsibilities and guarantees predictable and sustainable financial results.

/ Startup and Implementation /

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Task Week 1 Week 2 Week 3 Week 4
Information Gathering XXXXX
Business Process Review XXXXXXXXXXXX
Credentialing XXXXXXXXXXXXXXX
Electronic Enrollment XXXXXXXXXXXXXXX
Superbill and Fee Schedule XXXXXXXXXX
Data Migration XXXXXXXX
Software Installation and Training XXXXXXXXX

/ Ongoing Revenue Cycle Management /

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Main Workflow

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  • Your office staff schedules patients and enters demographics using our front-office applications.
  • Your providers capture charges on handhelds, paper forms, or Windows PCs.
  • Department B receives patient and charge capture information electronically.
  • Department B reviews, scrubs, and codes claims before submitting electronically to insurance companies.
  • Insurance companies received claims and contact Department B with questions.
  • Insurance companies remit payment using electronic funds transfer direct to your bank account.
  • Department B post and reconciles payments, follows-up on denials and underpayments.
  • Your providers and staff access real-time reports from any PC.
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Other Activities

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  • Department B continually tracks credentialing deadlines and files any necessary forms.
  • Department B administers periodic chart audits to review your coding practices.
  • Department B analyzes reports and benchmarking and provides financial analysis.