Revenue Cycle Management definition

Revenue Cycle Management or “RCM” means Service provided by Athelas to submit claims for reimbursement to public and private insurers on all Patient Accounts.
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Revenue Cycle Management means the following services: a. Standard implementation and the establishment of electronic data interface agreements between Licensee and applicable carriers; b. Claims submission, including primary & secondary billing, workers compensation and no-fault billing, which includes the submission (in either electronic or paper format) to governmental and private third party payors of charges, exclusions, denials and secondary claims within statutory periods; c. Insurance accounts receivable follow up, which means appropriate correspondence with governmental and private third party payors (including follow-up, research, and resubmission of denials), customer service (e.g., payor billing inquiries) and claims appeals; d. Payment posting, which means the receipt from Licensee of EOBs or other patient payment information (e.g., copayment information), receipt from private third party payors of electronic remittance advices and other 835 files, and the entry of relevant data into the Software; e. Provision of the following standard day, week or month-end reports: account receivables summaries, productivity reports for procedures and providers, month-end close report (i.e., charges, payments, adjustments, and standing accounts receivable) and management summary; f. Refund processing, which means posting of Licensee’s refund check to the Software; g. Assignment of an account manager to manage Licensee’s receivables.
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Revenue Cycle Management means the activities of Mirrus Systems, AMS Plus, and other operations responsible for billing, coding, or collections.
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Examples of Revenue Cycle Management in a sentence

  • Exceptions to the 50% may only be made upon approval through the Business Office, the Lead Patient Care Representative (Supervisor), the Associate Director of Revenue Cycle Management, or the Director of Revenue Cycle Management.

  • The Contractor will provide NetSolutions™ which offers the State a complete system, including an EMR, applications for Revenue Cycle Management, Electronic Medication Management, Documentation Management, and Communications.

  • If so, what is a “revenue cycle” employee, and why does such an employee require access to these customer records?The Revenue Cycle employee is, in this case, an Accretive Health employee who performs Revenue Cycle Management services (described in the Background section above) for Accretive Health’s clients.

  • With strong consumer sentiment and the vaccine rollout underway, the market is continuing to see the Healthcare Revenue Cycle Management, Customer Relationship Management and Ac- counts Receivable Management sectors as attractive areas to place long-term bets.

  • REVENUE CYCLE MANAGEMENT SERVICE: For the Revenue Cycle Management Service, the General Terms and Conditions of Section A and the terms of Section C and D apply to you.

  • Accretive Health worked in a strategic partnership with Fairview hospitals and clinics to provide the Revenue Cycle Management services described above.

  • In November 2010, only eight months after entering into its Revenue Cycle Management contract with Fairview, Accretive Health began implementing a software technology tool that limited employee access to medical information to the data listed above in response to Question 6.

  • Camera ReconfiguringCustomers that want to change the position, angling, etc.

  • The Company provides Revenue Cycle Management Services to U.S. hospitals, delivered collaboratively, utilizing proprietary workflow document management and analytics tools tailored to health care business processes.

  • Revenue Cycle Management and other Technology-driven Business Services Our proprietary revenue cycle management offering is designed to improve the medical billing reimbursement process, allowing healthcare providers to accelerate and increase collections, reduce errors in submission and streamline workflow to free up practitioners to focus on patient care.


More Definitions of Revenue Cycle Management

Revenue Cycle Management or “RCM” means the following services:
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Related to Revenue Cycle Management

  • Change Management means the add-on module to the Programs that enables engineers to define network changes through one or more configuration templates. Those network changes can be applied to multiple devices and executed/rolled back automatically. The Change Management module enables engineers to verify the impact of the changes across the network to help ensure a safer change process.

  • Targeted case management means services that assist a beneficiary to access needed 2 medical, educational, social, prevocational, vocational, rehabilitative, or other community services. The 3 service activities may include, but are not limited to, communication, coordination and referral;

  • Virginia Stormwater Management Program or “VSMP” means a program approved by the State Board after September 13, 2011, that has been established by a locality to manage the quality and quantity of runoff resulting from land-disturbing activities and shall include such items as local ordinances, rules, permit requirements, annual standards and specifications, policies and guidelines, technical materials, and requirements for plan review, inspection, enforcement, where authorized in this article, and evaluation consistent with the requirements of this article and associated regulations.

  • disaster management means a continuous and integrated process of planning, organising, coordinating and implementing measures which are necessary or expedient for—

  • Virginia Stormwater Management Program authority or "VSMP authority" means an authority approved by the State Board after September 13, 2011, to operate a Virginia Stormwater Management Program.

  • Stormwater management plan means the set of drawings and other documents that comprise all the information and specifications for the programs, drainage systems, structures, BMPs, concepts and techniques intended to maintain or restore quality and quantity of stormwater runoff to pre-development levels.

  • Project Management Plan means the portion of the Project Development Plan providing the information requested in Section 4.2 of Exhibit B to the ITP.

  • Stormwater management measure means any practice, technology, process, program, or other method intended to control or reduce stormwater runoff and associated pollutants, or to induce or control the infiltration or groundwater recharge of stormwater or to eliminate illicit or illegal non-stormwater discharges into stormwater conveyances.

  • Management Plan means a plan to manage the activities and protect the special value or values in an Antarctic Specially Protected Area or an Antarctic Specially Managed Area.

  • Case management means a care management plan developed for a Member whose diagnosis requires timely coordination. All benefits, including travel and lodging, are limited to Covered Services that are Medically Necessary and set forth in the EOC. KFHPWA may review a Member's medical records for the purpose of verifying delivery and coverage of services and items. Based on a prospective, concurrent or retrospective review, KFHPWA may deny coverage if, in its determination, such services are not Medically Necessary. Such determination shall be based on established clinical criteria and may require Preauthorization.

  • Stormwater management planning area means the geographic area for which a stormwater management planning agency is authorized to prepare stormwater management plans, or a specific portion of that area identified in a stormwater management plan prepared by that agency.

  • Utilization management section means “you or your authorized representative.” Your representative will also receive all notices and benefit determinations.

  • Cultural resources means archaeological and historic sites and artifacts, and traditional religious, ceremonial and social uses and activities of affected Indian tribes.

  • UCITS management company means a management company as defined in Directive 2009/65/EC of the European Parliament and of the Council of 13 July 2009 on the coordination of laws, regulations and administrative provisions relating to undertakings for collective investment in transferable securities (UCITS)1;

  • Asset Management Plan means a strategic document that states how a group of assets are to be managed over a period of time. The plan describes the characteristics and condition of infrastructure assets, the levels of service expected from them, planned actions to ensure the assets are providing the expected level of service, and financing strategies to implement the planned actions. The plan may use any appropriate format, as long as it includes the information and analysis required to be in a plan as described in Ontario’s Building Together: Guide for Asset Management Plans.

  • Stormwater management planning agency means a public body authorized by legislation to prepare stormwater management plans.

  • Network Operating Committee means a group made up of representatives from the Network Customer(s) and the Transmission Provider established to coordinate operating criteria and other technical considerations required for implementation of Network Integration Transmission Service under Tariff, Part III.

  • Adaptive management means reliance on scientific methods to test the results of actions taken so that the management and related policy can be changed promptly and appropriately.

  • Moderate income housing means housing affordable,

  • Earned value management system means an earned value management system that complies with the earned value management system guidelines in the ANSI/EIA-748.

  • Continuous parameter monitoring system (CPMS means all of the equipment necessary to meet the data acquisition and availability requirements of the Prevention of Significant Deterioration program, to monitor process and control device operational parameters (for example, control device secondary voltages and electric currents) and other information (for example, gas flow rate, O2 or CO2 concentrations), and to record average operational parameter value(s) on a continuous basis.

  • Environmental and Social Management Plan or “ESMP” means a site-specific environmental and social management plan to be prepared in accordance with the parameters laid down in the ESMF and acceptable to the Association, setting forth a set of mitigation, monitoring, and institutional measures to be taken during the implementation and operation of the Project activities to eliminate adverse environmental and social impacts, offset them, or reduce them to acceptable levels, and including the actions needed to implement these measures.

  • PJM Management means the officers, executives, supervisors and employee managers of PJM.

  • Stormwater management means the programs to maintain quality and quantity of stormwater runoff to pre-development levels.

  • Plan for moderate income housing means a written document adopted by

  • Environmental and Social Management Framework or “ESMF” means the framework included in the EA setting out modalities to be followed in assessing the potential adverse environmental and social impact associated with activities to be implemented under the Project, and the measures to be taken to offset, reduce, or mitigate such adverse impact.