2024
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