Important revenue cycle activities in the pre-service stage include;
Obtaining or updating patient and guarantor information
In the pre-service stage, the cost of the scheduled service is identified and the
patient's health plan and benefits are used to calculate;
The amount the patient may be expected to pay after insurance.
Demographic and health plan edit failures are identified and resolved within the
Patient Access area. Census activity is processed, Discharges are completed and
correctly coded. These activities are considered
Point-of-service revenue cycle activities.
HFMA best practices call for patient financial discussions to be reinforced;
With a written statement of the conversation
HFMA's patient financial communications best practices specify that patients
should be told about the types of services provided and;
Who participates in providing the service, e.g. surgeons, radiologists, etc.
The process of evaluating compliance with financial assistance policies involves;
The annual observation, monitoring, and tracking of results for all best practices.
The account resolution clock begins when
The first statement is sent to the patient
The soft cost of a dissatisfied customer is
The customer passing on information about their negative experience to potential
patients or through social media channels
The hard cost of a dissatisfied customer is
loss of future revenue
When there is a request for service, scheduling staff must first
Confirm the patients key identification information
A standardized form informing patients about the conditions that must be agreed
to as part of the agreement for the hospital to provide care is called
Conditions of admission
Hospitals need which of the following information sets to assess a patients
financial status
Demographic, Income, Assets, and Expenses
For new patients with no MPI number
A new medical record will be created by the provider
Which option is a government sponsored program that is financed through taxes
and general revenue funds
Medicare
An increase in the dollars aged greater than 90 days from date of service
indicates that accounts are
Not resolved in a timely manner
In many states, people covered under the Medicaid program are required to join
managed care plans focusing on preventive healthcare
Medicaid Advantage
Price is defined as;
The amount actually paid by the health plan and/or the patient for a specific service