Revenue Cycle Management
About Revenue Cycle Management
Revenue Cycle Management (RCM) in healthcare is the end-to-end financial process managing patient revenue from appointment scheduling (pre-service) through treatment, billing, coding, claim submission, and final payment collection (post-service), ensuring providers get paid accurately and efficiently for services rendered. It integrates clinical and administrative functions, using software to handle tasks like insurance verification, claim tracking, and patient collections, aiming to maximize reimbursement, reduce denials, and improve financial performance.
Welcome To
Complete Revenue Flow
Patient Registration
Gathering demographics and insurance info at booking.
Insurance Verification
Confirming patient eligibility and benefits.
Service / Encounter
Clinical documentation, diagnosis, and procedure coding (ICD, CPT).
Claim Submission
Sending claims to payers (insurance, Medicare/Medicaid).
Payment Posting
Recording payments from payers and patients.
Denial Management:
Appealing denied claims.
Patient Collections
Billing and collecting patient responsibility (copays, deductibles).