Case Management's Role in Managing Denials and Appeals in the New Healthcare Environment:.

Revenue is defined as the sum earned by the provider, measured in dollars. The revenue cycle is defined as the series of activities connecting the services rendered by a healthcare provider with the methods by which the provider receives compensation for those services. Case management plays an inte...

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Detalles Bibliográficos
Publicado en:Hospital Case Management Vol. 27; no. 9
Autor principal: AHC MEDIA
Formato: Journal Article
Publicado: Relias LLC Sep2019
Acceso en línea:Ver este registro en EBSCOhost
Descripción
Sumario:Revenue is defined as the sum earned by the provider, measured in dollars. The revenue cycle is defined as the series of activities connecting the services rendered by a healthcare provider with the methods by which the provider receives compensation for those services. Case management plays an integral role in managing revenue and the revenue cycle in the denials and appeals processes. This month, we will discuss the case manager's role in the revenue cycle as it relates to the management of denials and appeals.