Contenu connexe Plus de Jessica Parker (20) First Stage of a Typical Revenue Cycle for Optometry Medical Billing1. Call now 888-357-3226 (Toll Free)
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First Stage of a Typical Revenue Cycle for Optometry Medical Billing
The Healthcare Financial Management Association (HFMA) defines revenue cycle as "All
administrative and clinical functions that contribute to the capture, management, and
collection of patient service revenue." The revenue cycle comprises of the entire life of
a patient right from preregistration to payment. An organized revenue cycle
management for optometry medical billing ensures hassle-free administration.
Patient access is the most significant component of the healthcare revenue cycle.
Revenue can be gained or lost in patient access even before care is delivered. Putting
emphasis on front-end administrative and financial operations takes care of this
problem.
Preregistration - The First Stage of a Revenue Cycle
Preregistration is the first patient encounter where efficiency and accuracy impacts the
practice’s revenue. Collecting demographic and insurance information prior to
registration is called preregistration.
Preregistration marks the first stage of revenue cycle for optometry medical billing.
Using preregistration to clear patients financially before they are scheduled for
treatment protects payer reimbursements, creates opportunities to collect payments
and improves patient satisfaction. This results in faster revenue realization and
accelerated cash flow.
Some tasks which need to be carried out at this stage are:
Gathering accurate patient demographic, insurance and clinical data
Conducting real-time check with the payer system for verification of insurance
information
Making the patients aware of their financial obligations
Notifying them in advance of what documents will be required
Benefits of Preregistration
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Accurate, complete and timely registration helps in smooth functioning of front, mid
and back offices. This enables your clinical staff to treat patients without encountering
delays. Preregistration gives way to seamless reimbursements which is crucial to the
economic growth of both, large and small practices. It helps to gather accurate and
timely collection of information. As the treatment of a patient advances, the ability to
collect information as well as cash greatly decreases, which lowers the revenue
generation process. As a healthcare service provider, it's highly imperative that you
have an efficient revenue cycle management (RCM).
Omissions to Avoid in Preregistration
Incomplete or inaccurate insurance information is the most common mistake which
results in denials from payers. The patient's name could be spelled incorrectly or there
could be a possibility of a mismatch in the patient's date of birth or gender.
Preregistration helps in accurate billing of the insurance and decreases the number of
denied claims which improves the financial position of the clinic.
MedicalBillersandCoders.com helps physicians to streamline their practices. Their
billers can apply standard CPT, HCPCS procedure and supply codes, and ICD-CM
diagnosis coding as per CMS guidelines. A dedicated billing and coding team ensures
timely filing of claims, managing denials, following up with insurance companies and
other tasks. Their billers are equipped with the demands of ICD-10 coding and HIPAA
5010 medical reporting compliance. MBC constantly provides a proactive outlook for
opportunities and challenges in optometry billing management.