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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

Denials Management

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

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