Rcm Diagram


Create a diagram which demonstrates the revenue cycle process from beginning to end. Start with the registration of a patient for a service and end with closure (full payment) on the account. Be sure to include in your diagram, different payment methodologies for different visit types (for example, an inpatient will use PPS, MS-DRG, and indices while outpatient will use APC’s and RBRVS). Also include items such as claim forms, bill reconciliation, RA’s, EOB’s, ABN’s, LCD’s, and NCD’s.

Your diagram (flowchart!) should completely demonstrate the entire revenue cycle (EITHER choose Inpatient or Outpatient – you don’t need both) and include small text boxes within the diagram for very brief explanations.

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