Revenue Cycle
The 3 phases of the Revenue Cycle
What is Front, Middle and Back End?
King in healthcare
What is cash?
A cash poster would be an end user for this Commerce Solution
What is Remit Connect?
A current buzz word for Revenue Cycle/RCM
What is AI?
The patient experience typically begins with this department, also called the Front Door
What is Patient Access?
What is Remit Connect?
Clients would need to use this vended solution to send and receive claims to a Insurance Payer
What is a clearinghouse?
High deductible health plans have led clients towards the need for this Commerce solution
What is HSF?
This term describes the entire journey from order intake to account resolution.
What is Lifecycle of a Claim?
This C-suite role typically oversees Finance and Revenue Cycle
What is a CFO?
If an organization is challenged with an increasing patient AR, the Commerce team would want to offer this Commerce solution
What is HSF?
Our technology partner that provides a tool for patient estimations
What is RevSpring?
Errors resulting from incorrect or incomplete information obtained at the time of pre-registration and registration can result in this for the back office team to take another action towards payment
What is a Denial?
Most providers and health systems will have an accounting software the manages the reconciliation for the bank ledger
What is an ERP?
This is now considered the top objective in the healthcare revenue cycle, replacing the traditional focus on financial recovery.
What is growth?
These forms are produced in the back office space, once the front end edits
What is UB 04 or HCFA 1500 (Institutional or Professional) Claim
A claim that clears edits within the claims scrubber for the bill to progress to the insurance company is called
What is a clean claim?
When gathering information from a prospect client for Remit Connect, it is important to understand what type of this software they use for cash posting
What is patient accounting?