Revenue Cycle Management Checklist ( FINANCE )

This checklist is designed to ensure a smooth process for managing the revenue cycle, from patient registration to payment collection. It provides a step-by-step guide to improve efficiency and accuracy in billing and collections.

• Patient Registration

  Ensure all patient information is accurately collected and entered into the system, including insurance details.

• Insurance Verification

  Verify the patient's insurance eligibility and coverage before services are rendered.

• Charge Capture

  Document all services provided to the patient in the billing system immediately after the service is rendered.

• Claims Submission

  Submit claims to the insurance company within the required timeframe to ensure timely payment.

• Payment Posting

  Post payments received from insurance companies and patients to the appropriate accounts.

• Denial Management

  Review and address any claims that have been denied by insurance companies promptly.

• Patient Billing

  Send out patient statements for any outstanding balances after insurance payments have been processed.

• Collections Follow-Up

  Follow up on overdue accounts with patients to facilitate timely payments.