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Hospital Flow

QuestionAnswer
Physician Order Written orders for requested services
Scheduling Services requested are scheduled in the hospital system
Admit/Registration Demographics, Patient Consents
Insurance Verification Verify coverage, Obtain Certification for services
Patient Care All care provided by facility/provider(s)
Charge Capturing Gather all charge documents, Ensure all services rendered are billed
Procedure Coding All services not captured by chg. documents are assigned appropriate coding
Discharge Appropriate discharge documentation, All constent/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 incorrectly
Patient Billing/Collection Bill patient for portion after insurance due from patient
Collections Collection follow-up for patient balance, Balance not paid by patient
Payment Posting Posting of insurance/patient payments and appropriate contractuals
End of... Hospital Revenue Cycle
Created by: Cristinacholi
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