Manage Healthcare Revenue Cycle

Type: Process
Status: Planned
Industry Sector: Healthcare

Description:

Coordination of healthcare eligibility, authorization, billing, claim submission and revenue follow-up.

Parent Process: None

Subprocesses:

Generate Healthcare Invoice
Manage Healthcare Claim
Obtain Prior Authorization
Verify Coverage Eligibility

Served by Application(s):

Revenue Cycle Management System

Realizes Capabilities:

Healthcare Revenue Cycle Management
Medical Billing Management
Healthcare Claims Management

Uses Information Object(s):

Patient
Procedure Code
Diagnosis
Invoice
Bank Payment
Coverage Eligibility Verification
Prior Authorization

Performed by Role(s):

Revenue Cycle Specialist
Healthcare Administrator

Triggers Process(es):

None

Planned

Healthcare Healthcare Revenue Cycle ManagementMedical Billing ManagementHealthcare Claims Management Revenue Cycle SpecialistHealthcare Administrator

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