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Revenue Cycle and Financial Management Systems

Review the revenue cycle process that is discussed in your text and other peer-reviewed journal articles. Research how a financial management system can be used to automate the revenue cycle and ultimately improve the patient experience. Write a paper that addresses the following:

  • Best practices (2 pages): Identify and discuss industry best practices of financial management systems (3.1). You may wish to use figure 18-2 in your Health Information: Management of a Strategic Resource text as a guide. Include a discussion on the entire revenue cycle from scheduling to payment posting and include fee schedules/charge masters, coding, claims processing, collection follow-up, and denial management in your response. Analyze the systems used, interfaces to other systems, and incorporate EDI standards where appropriate (3.1).
  • Analysis of information technology tools (2 pages): Explain how financial management systems simplify and streamline the revenue cycle which ultimately improves the patient experience (2.1).
  • Decision support (2 pages): Discuss how the financial data is captured, tracked, and analyzed across the organization (2.2). Include a discussion on reimbursement analysis and case mix analysis in your response.

Be sure to communicate in a manner that is scholarly, professional, and consistent with expectations for professionals in health care administration (5.1-5.6).

  • Written communication: Written communication is free of errors that detract from the overall message.
  • APA formatting: Resources and citations are formatted according to APA style and formatting standards.
  • Number of resources: Minimum of 3-5 peer-reviewed resources from scholarly journal articles.
  • Font and font size: Times New Roman, 12 point.
  • Length: 6-7 typed, double-spaced pages excluding the title page and reference page. An abstract is not required.

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