Healthcare Billing & Revenue Cycle Management (RCM)

Understanding the key stages of the healthcare revenue cycle.

1. Patient Registration

Collecting patient demographics and insurance details before service.

2. Insurance Verification

Checking patient insurance eligibility and coverage details.

3. Charge Capture

Documenting medical services provided and assigning appropriate codes.

4. Claim Submission

Submitting claims electronically to insurance payers.

5. Payment Posting

Recording payments received from insurance and patients.

6. Denial Management

Handling rejected claims and reprocessing them efficiently.

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Revenue Cycle Stages

Claim Status Distribution