Revenue Cycle Management (RCM)

Coding is a critical component of the Health Information Management Department and coders play an important role in the Revenue Cycle Management process.

"Revenue cycle management (RCM) is the process of managing claims, payment and revenue generation. RCM encompasses everything from determining patient insurance eligibility and collecting co-pays to properly coding claims. A well-designed RCM system is able to communicate with the EHR and accounting systems to streamline the billing and collection cycles." (HealthIT, 2015)

This activity will introduce you to the RCM and the role coders play in this function. Read the article, attached below by Ruth Cummins, RHIA, CCS and Julie Waddell.

Download the worksheet below and answer the questions.

Revenue Cycle Management Worksheet

Requirements:

1. Complete the questionnaire