Youtor
REVENUE CYCLE MANAGEMENT EXPLAINED denial management in medical billing
>> YOUR LINK HERE: ___ http://youtube.com/watch?v=guat0Racl3g
#denialmanagement • #medicalbilling • #dminmb • PATIENT REGISTRATION: Patient schedules appointment for treatment, information like patient demographic, insurance card and reason for visit is collected. • REFERRAL AND AUTHORIZATION: Based on patient visit reason, provider need to seek pre-auth and PCP referral before patient visit • Collection of Co-Pay/Balances: During patient visit, patient need to deposit any co pay balances and services are rendered to patient. • MEDICAL CODING: Post treatment medical coders convert patient illness deceases to diagnosis code and provider services to procedure code as per ICD 10 guidelines. • CHARGE ENTRY: After coding, Charge entry team assigns appropriate dollar value for each procedure code as per appropriate fee schedule. • CLEARING HOUSE: clearing house scans all information like provider and patient demographics and forward electronic claims to insurance. Any errors in claim will be rejected and it will not be forwarded to payor. • PAYMENT POSTING: Payor process the received claim and pay to provider through check, EFT or VCC. EOB will be sent to provider pay to address along with payment proof. This payment are posted in patient's account. • ACCOUNTS RECEIVABLE: Accounts receivable team is responsible to follow up on claims that are denied by insurance for various reason, resolve the issues that denies the claim and bring payments from denied claim. • COLLECTIONS AND ADJUSTMENTS: Any patient responsibilities in account are collected from patient and Any adjustments on claims, will be adjusted by provider. • If you have learnt something from it, please like and share this video. subscribe to my channel. I'm creating video on denial managements. • Any suggestions from Experts or trainers are always welcome. • Please contact me: [email protected] • I'm making these videos to understand US healthcare RCM at basic level. • Thank you!
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