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11 Cards in this Set
- Front
- Back
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Accounts receivable (A/R) |
The total sum owed to an organization, generally as a result of services rendered. |
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Revenue cycle |
The series of activities that connect the services rendered by a healthcare provider with the method by which the provider received compensation for those services |
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Revenue |
The sum earned by the provider measured in dollars. |
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Key players in revenue cycle |
Administration, Finance, Managed care/Payer services, Patient access, Clinical/ancillary services and physicians, HIM, Patient accounting |
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Administration |
Strategic goals, operational efficiency and effectiveness |
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Finance |
Cash flow - payments, payroll, investments |
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Managed care/payer services |
Payer contract negotiations, policies and procedures, material breach issues |
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Patient access |
The data-integrity gatekeeper. Collect demographic data, financial data, insurance verification, quality assurance, and precertification |
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Clinical/ancillary services and physicians |
Document services and recording of charges |
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Health information management (HIM) |
Coding, abstracting, data validation and quality assurance |
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Patient accounting |
Compilation of charges, billing, collections |
