What is the Healthcare Revenue Cycle? - Part 4

Part 4 of 8 - What is the Healthcare Revenue Cycle? // In this video we deep dive into the healthcare revenue cycle from a provider and healthcare organization perspective. How would a better understanding of the revenue cycle help you maximize your organization's financial performance?
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Who is Jasmine?
A natural-born leader, Jasmine believes in creating a work environment that is fulfilling to its team both personally and professionally. With over two decades working in the healthcare industry, she leverages her experience and passion for people to help guide the next generation of medical billers. By implementing new processes that have proven to be both efficient and effective, she’s able to help scale organizations to new levels.
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[@yonatanpistiner1607]

Question: once the claim is accepted and the adjudication process starts, does it mean the provider 100% will be reimbursed, payed as needed? or there are cases after the initial approval of the claim that it will be rejected or partially approved by the insurance company?
Thx!

[@riyaspp3169]

Really helpful 👌

[@InleraU]

Yay!! 🤗 so happy to hear that you found it helpful!

[@micahgriggs1761]

Would clinical documentation fall under "diagnosis & charge capture" or "charge review & scrubbing"?

[@InleraU]

Depending on the practice's process flow, it most likely would fall somewhere between the patient visit & the charge capture. The provider and/or scribe is responsible for completing the clinical documentation. The charge capture follows the documentation as the procedures are captured from the finalized documenation.