Impact of Data Collection on Healthcare Revenue Cycle

School: ECPI University - Course: HCA 430 - Subject: Accounting

Identify data captured at that stage The data capture for registration are the patient's address, phone number, date of birth, guarantors, and insurance information. Claims submission includes sending information to the insurance carrier after the charges have been entered. Discuss the impact the data collected at this stage has on at least 2 other stages in the process. Most registration errors come because of the process being overly cumbersome. Either there are a lot of forms to deal with, or the wording on the forms contains terminology that the public does not understand. Reviewing your form for this type of wording will help you offer accurate information. The transmission report reveals which claims were sent, which claims were returned, and which claims were dropped, while the rejections report shows which codes were erroneous. It's critical to double-check both reports as part of the claim submission procedure. The sooner errors are discovered, the faster they can be corrected, and the faster claims may be reimbursed. Explain the potential negative impacts when data collected at this stage is incomplete, incorrect, or ignored. During registration, the provider collects co-payments and, if the patient is a specialist, ensures that a referral or authorization to treat the patient is in place. If that stage is skipped in a specialist's office, it's unlikely that they will be reimbursed for the service. Financial paperwork is signed, and insurance benefits are assigned during registration. There is a possibility of financial repercussions if these measures are skipped, and the practice is audited. A claim that is rejected has one or more errors discovered before it is processed. The insurance company is unable to pay the bill as written due to these inaccuracies, and the rejected claim is returned to the biller to be fixed. Denied claims, on the other hand, are those that have been processed but judged unpayable by the payer. These claims could be in violation of the payer- patient contract, or they could simply contain a critical inaccuracy that was only discovered after processing.

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