Clinic Registration
Pre-Service
Patient Access Services
CBO Hospital Follow Up
CBO Hospital Billing
How Patients are Serviced & Revenue Cycle is Reimbursed
CBO Clinic Follow Up
Trip to the ED
Patient Access Services Admit Patients
CBO Clinic Billing
Claims with Errors Are Sent to Billing Workqueues (WQ's)
Sometime we have to take a closer
Errors
Clean Claims
Patient Seen by Provider
Follow-Up Team Accesses 'No Response' WQ's
Denials Team
Overturn Denials
Write Off Denials
Claim is Paid by Insurance Company
Remaining Balance Billed to Guarantor
Claim Sent to Insurance Company
Scheduled Appointment
Pre-Service Handles Hospital/Clinic Registration
Guarantor is Billed
Guarantor May Disagree with Bill
Guarantor Pays Remaining Balance
Guarantor May Agree with Bill
Coding & Education
Revenue Integrity - Nurse Audit
Patient Accounts Customer Service
Medicaid Eligibility Program
Payment Processing
Credentialing
Credit Resolution
Guarantor Follow-Up
Financial Services
Training & Education