Institute:Office of National Coordinator (ONC) Workforce Training Curriculum
Component:Introduction to Health Care and Public Health in the U.S.
Unit:Financing Health Care - Part 2
Lecture:The Revenue Cycle of Various Health Care Enterprises
Slide content:Registration Hospital management software or practice management software Demographic information Health insurance information Insurance information Confirm terms of coverage Determine deductibles, copayments, and coinsurance Accurate claim identification by third party payor 12
Slide notes:Today, hospital management or practice management software accomplishes most billing tasks electronically. During the registration process, the software allows the accurate capture of patient demographic and health insurance information. This allows the provider to confirm eligibility and enrollment in the health care plan, effective dates, benefits, and limitations and exclusions. It also permits the determination of deductibles, coinsurance, and copayments. Acquiring the correct information ensures accurate reimbursement. Without accurate information, a third party payor may be unable to identify the patient or insured, resulting in a denial of payment for services provided. 12