during the patient discharge processing stage of revenue management
during the patient discharge processing stage of revenue cycle management
a. all patient information and codes are input into the billing system, and CMS-1500 or UB-04 claims are generated and submitted to third-party payers.
b. late charges, lost charges, or corrections to previously processed CMS-1500 or UB-04 claims are entered, and claims are resubmitted to payers.
c. patient information is verified, discharge instructions are provided, patient follow-up visit is scheduled, consent forms are reviewed for signatures, and patient policies are explained to the patient.
d. reimbursement from third-party payers is posted to appropriate accounts, and rejected claims are resubmitted with appropriate documentation.