Full Revenue Cycle Management

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WEBeDoctor® Revenue Cycle Management (RCM)

The revenue cycle includes all the administrative and clinical functions that contribute to the capture, management and collection of patient service revenue, according to the Healthcare Financial Management Association (HFMA).

Here is what WEBeDoctor Services involved in the Revenue Cycle Management (RCM):

Rendering medical services into billable charges.

Submitting claims of billable fees to insurance companies.

Properly coding diagnoses and procedures.

Determining patient balances and collecting payments.

Collecting preregistration information, such as insurance coverage, before a patient arrives for inpatient or outpatient procedures.

Collecting subsequent patient information during registration to establish a medical record number and meet various regulatory, financial and clinical requirements.

Applying or rejecting payments through remittance processing includes Automatic Payment Posting

Collecting payments from 3rd party insurers.

Examining the necessity of medical services.