Medical Billing Revenue Cycle Workflow Scenarios

Inherent in the Revenue Cycle workflows is the need to collaborate with other departments to ensure performance benchmarks are met and the ultimate goal of timely and accurate cash flow is attained. In this activity, you will identify which departments need to work together to resolve the situation presented in several scenarios.

  1. Use the attachment to complete the assignment
  2. Beneath each scenario, identify the department(s) involved from the list below and explain each department’s role in resolving the issue.

    Patient Access/Admissions
    HIMs
    Coding
    Patient Accounts/Billing
    Chargemaster Management
    Accounts Receivable
    CDI
    Utilization Management
    Clinical Services (Providers, Radiology, Nursing, and other Ancillary Services)
    Administration

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