THE REVENUE CYCLE

PRE-REGISTRATIONCollect information before patient arrival

REGISTRATIONCollect subsequent patient information during registration

CHARGE CAPTURERender medical services into billable charges

UTILIZATION REVIEWHealth insurance companies review a request for medical treatment

MEDICAL BILLING RCM CYCLE WORKFLOWStep-by-Step Detailed Process

Patient Scheduling & Registration

Insurance Verification & Eligibility Check

Insurance/Service Eligibility Check

Prior Authorization Required?

Obtain Prior Authorization

Medical Coding (ICD-10, CPT, HCPCS)

Charge Entry

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