Describe key responsibilities of individuals who work in the revenue cycle process.

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Please add text to each slide that will equal appximately 15 minutes of total narration

Develop a 10-slide PowerPoint presentation with accompanying 10
to 20 minutes of audio targeted at educating new hires at a health care
organization about the revenue-cycle process.
Introduction
The financial health of the health
care organization depends upon its ability to generate consistent and recurring
funds from the services it provides. Collectively referred to as the revenue
cycle (RCM), critical stages in this process include:
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Patient registration.
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Collection of demographics and payor source.
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Rendering services.
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Documenting services.
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Establishing charges.
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Preparing the claim or bill.
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Submitting the claim.
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Receiving payment.
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Managing accounts receivable.
Decreasing payment delays and lost
revenues is a point of interest for many health care managers tasked with
oversight of the RCM process. Innovative approaches in technology have assisted
with streamlining the RCM process and allowed for automation of many processes,
resulting in expedited processing and quick remittance.
Managed care dollars represent a
significant portion of all health care organizations’ reimbursements. As a
result, health care organizations seek to establish contracts with large
managed care organizations (MCOs). Negotiating and securing contracts with MCOs
is important for several reasons, including preserving revenues, enhancing
patient satisfaction, and generating additional sources of revenue.
All contracts will contain language
outlining the administration of the contract along with the payment schedule.
While the payment schedule may be seen as the most important element, the terms
outlined within the contract are equally as vital to the financial success of
the organization.
This assessment focuses on the
revenue cycle and how technological innovations have impacted reimbursement for
health care organizations. You will take on the role of a patient access
supervisor. One of your job functions entails educating new hires about the
revenue cycle process.
Demonstration of Proficiency
By successfully completing this
assessment, you will demonstrate your proficiency in the following course
competencies and assessment criteria:
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Competency 3: Explain the organizational revenue cycle process.
o Explain the purpose
of each step in the revenue cycle process.
o Describe key
responsibilities of individuals who work in the revenue cycle process.
o Explain the
consequences to the organization of failing to fulfill key responsibilities in
the revenue cycle process.
o Explain additional
steps and challenges in the revenue cycle process when working with an
uninsured patient.
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Competency 4: Communicate in a manner that is scholarly,
professional, and respectful of the diversity, dignity, and integrity of others
and is consistent with the expectations of health care professionals.
o Adhere to the rules
of grammar, usage, and mechanics.
o Apply APA
formatting to in-text citations and references.
For this assessment, prepare a
10-slide PowerPoint presentation outlining the various steps of the revenue
cycle. For the scenario, imagine you are a patient access supervisor
who must educate a group of new hires about the revenue cycle process. The
presentation should include:
·
The revenue cycle process.
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Their potential responsibilities.
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Why the process is important to a care organization.
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Challenges that they might face in their work.
When structuring your presentation,
consider the following points and questions to ensure that you are meeting the
scoring guide criteria:
·
Explain the purpose of each step in the revenue cycle process.
o “Explain” means to
make (an idea, situation, or problem) clear to someone by describing it in more
detail or revealing relevant facts or ideas.
o The steps within
the revenue cycle process including admissions, case management, documentation,
coding, billing, and other steps.
·
Describe key responsibilities of individuals who work in the
revenue cycle process.
o “Describe” means to
give an account in words of (someone or something), including all the relevant
characteristics, qualities, or events.
o Describe key
components (such as verifying insurance, financial counseling, coding of
documented services provided, and others) and who is responsible (individuals
such as coders, registration clerk, and others).
·
Explain the consequences to the organization of failing to
fulfill key responsibilities in the revenue cycle process.
·
Explain additional steps and challenges in the revenue cycle
process when working with an uninsured patient.
o Provide information
for the new staff regarding options available for the uninsured.
o Identify any
additional steps throughout the revenue cycle that one must be aware of when
working with an uninsured patient.
o Identify the
challenges that exist for the revenue cycle due to the delivery of
uncompensated care.
·
Adhere to the rules of grammar, usage, and mechanics.
o “Grammar” refers to
the basic rules for how sentences are constructed and how words combine to make
sentences (for example, word order, case, and tense).
o “Usage” refers to
correct word choice and phrasing, particularly with regard to the meanings of
words and phrases.
o “Mechanics” refers
to correct use of capitalization, punctuation, and spelling.
·
Apply APA formatting to in-text citations eferen

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