The Revenue Cycle
RadNet's patient database & the 1st stop in the RCO Cycle
What is eRAD RIS
Funded by Fed Govt to cover 65+
Health Insurance Portability and Accountability Act
What is HIPAA
Remittance Advice (Provider) & EOB (Patient0
3 key indicators of quality in healthcare
Safety, Clinical Experience, Patient Experience
Translates written notes to procedure & diagnoses codes
What is 3M CodeRyte
What is Medicaid
Protected Health Information and Personally Identifiable Information
What are PHI and PII
Coordination of Benefits
What is COB
An RCO committee dedicated to building the RCO community and to lift our spirits!
What is The RCO Spirit Committee
RCO's Billing System
What is Imagine
Non governmentally funded health insurance
Commercial Health Insurance
Claims Adjustment Group Code
What is CAGR
Copayment
What is the set $ amount patient pays per service
Where can the Reference Library be found
What is G:\RCO Reference Library
Healthcare Payments/Remittance Automation Processor
What is Medistreams
Network of independent physicians contracted w/payer to provide covered services to members
What are Medical Groups/IPAs
Remittance Advice Remark Code
What is RARC
Issued by a PCP for patient to see a specialist
What is a Referral
What three files are in the Reference Library
SOPs, Job Aides, Resources
The systems in the RCO cycle
What are e-RAD, CodeRyte, Imagine, Availity, (Insurance), Medistream
RadNet terminology used to describe special, non insurance agreement
Claims Adjustment Reason Code
What is CARC
Issued by payer giving provider approval to perform a service
What is a pre-authorization
Motivational/Inspiration videos in the RadNet training portal
What is Coffee with Cliff