EHR › Revenue Cycle
Revenue Cycle
Charge capture, insurance, claims and payment.
In EHR → Revenue Cycle · 6 screens
RecordsCharge CaptureWhat was done becomes what is billed. Captured from laboratory, imaging and theatre.OpenViewClaimsBuilt, scrubbed, submitted and adjudicated. What the patient owes becomes a receivable in Accounting.OpenRecordsInsurance VerificationCoverage on file, and whether it has been verified. A claim will not pass the scrub without it.OpenRecordsPayersWho is billed, and how long they typically take to pay.OpenReportRevenue by PayerBilled, paid, outstanding, denial rate and collection rate.OpenRecordsDenial Work QueueEvery denied or rejected claim, opened as a piece of work by the overnight job, with what kind of denial it is and what usually fixes it. Resubmitting sends the corrected claim -- as a replacement when the payer had already adjudicated it.Open
Columns, fields and actions
| Screen | Kind | What it is | Columns | Fields | Actions |
|---|---|---|---|---|---|
| Charge Capture | List | What was done becomes what is billed. Captured from laboratory, imaging and theatre. | 10 | 12 | 1 |
| Claims | Read-only list | Built, scrubbed, submitted and adjudicated. What the patient owes becomes a receivable in Accounting. | 11 | 0 | 3 |
| Insurance Verification | List | Coverage on file, and whether it has been verified. A claim will not pass the scrub without it. | 10 | 12 | 2 |
| Payers | List | Who is billed, and how long they typically take to pay. | 6 | 8 | 0 |
| Revenue by Payer | Report | Billed, paid, outstanding, denial rate and collection rate. | 0 | 0 | 0 |
| Denial Work Queue | List | Every denied or rejected claim, opened as a piece of work by the overnight job, with what kind of denial it is and what usually fixes it. Resubmitting sends the corrected claim -- as a replacement when the payer had already adjudicated it. | 10 | 6 | 1 |