Revenue Cycle Management Best Practices, Second Edition helps health information professionals and students better understand and participate in the revenue cycle management process by providing examples of how facilities can move from managing the revenue cycle by department to managing with an interdisciplinary approach to gain significant improvements on the timely flow of revenue. This book illustrates demonstrated practices in revenue cycle management (RCM) and educates the reader in understanding the interdepartmental dependencies and overall contributors to RCM with a focus on acute-care hospitals from the perspective of the HIM department.
Topics covered include revenue cycle basics, cost analysis and payer contracts, patient access, documentation and charge capture, record completion and coding, claims management, and an overview of how charges become revenue.
• Chapter content illustrates best practices in RCM with a focus on acute-care hospitals from an HIM department perspective
• New to this edition: each chapter includes learning objectives, key terms, and check-your-understanding questions
• Online resources include sample forms, logs, questionnaires, policies, and tracking tools as well as supplementary AHIMA toolkits, white papers, and practice briefs
• Instructor’s materials include a test bank (also available in Respondus), PowerPoint slides for each chapter, sample syllabus for associate and baccalaureate programs, and a content map connecting chapter content to CAHIIM standards
About the Authors
Nadinia Davis, MBA, RHIA,
CHDA, CCS, FAHIMA, is the program coordinator of the HIM program at Delaware Technical Community College.
Belinda M. Doyle, MSJ, is the director of payer services for Children’s Specialized Hospital’s 14 locations throughout New Jersey.