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Terms in this set (27)
Three segments of Patient-Centric Pre-service, Time-of-Service, Post-Service
Rev Cycle
Pre-service Set stage for effective patient comm and data
collection.
Requests service, notifies patient's financial
responsibility, schedules patient, gen encounter
record, ID cost of service and health plan/benefits
Time-of-Service Scheduled patients: complete final account review
prior to patient arrival. Sign consents, pay co-pays,
ID patient
Unscheduled patients: registration and financial
processing is completed. Mirrors "scheduled
patients" work, but includes unscheduled
items/services provided to out-of-network patients
Post-Service Account activities after the patient is discharged
until the account reaches a zero balance (final
coding, claim prep/submission, pay process and
balance billing/resolution)
, Core of "patient-centric rev cycle" Consumer experience: ease of access and
concept improved quality
Patient experience: coordination of care
(financial/clinical), compliant clinical doc
Customer experience: appropriate payment,
effective/efficient account resolution, decrease
cost to collect
HFMA rev cycle initiatives 1. Financial comm best practices
2. Price transparency
3. Medical account resolution
Hospital Consumer Assessment of Survey assessment for delivered to patients to
Heatlhcare Providers and Systems measure satisfactions w/in facilities
Hard cost vs. Soft cost Hard: loss of future rev
Soft: customer passes info about neg experience
to potential patient or through social media
Rev cycle activities to improve comm 1. Modify billing formats/statements for patient
and customer service: comprehension
2. Extending normal business hours for patient
inquiries and complaints
3. Resolving questions/complaints w/o transferring
4. Following up on all customer inquiries or
complaints w/in 48 hours
5. Hold staff accountable during reviews for
customer service responsibilities