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
, CRCR Test Review; Q’s & A’s
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