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Hospital Flow
Question | Answer |
---|---|
Physician Order | written order for requested services |
Scheduling | Services requested are scheduled in the hospital system |
Admit/Registration | Demographics patient Consent |
Insurance Verification | Verify coverage Obtain certification for services |
Patient care | all care provided by Facility |
Charge Capturing | Gather all charges documents Ensure all services are billed |
Procedure Coding | All services not captured by CHG documents are assigned appropriate coding |
Discharge | Appropriate discharge documentation all consents/ forms signed by patient |
Diagnosis Coding | ICD-10-CM coding assigned for all services |
billing | Generation of UB-04 for facility services |
Re-Billing | additional charges late charges |
Appeals | Reconsideration of services not paid/paid in correctly |
Patient Billing/Collection | Bill Patient for portion after insurance due from patient |
Collections | Collection follow-up for patient balance not paid by patient |
Payment posting | posting of insurance/patient payments and appropriate contractual |
End of Hospital Revenue Cycle |