Claims processing involves the totaling of charges for all services that a patient has incurred during their encounter. Once a patient has been discharged, the goal of the facility is to get a complete and accurate claim generated and submitted for payment to the payer.
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Q15: Increasing the RCM performance will have a
Q16: In a retrospective environment, both the provider
Q17: In a prospective environment it is entirely
Q18: In the front-end section of the RCM
Q19: Only in an emergency, the financial counselors
Q20: The case manager looks to expedite all
Q21: Utilization management is sometimes called utilization review
Q22: The maintenance of the CDM is a
Q23: The Correct Coding Initiative (CCI), along with
Q25: Denials are responses by the payer that
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