Billing Cycle
by Kianna Johnson
1. Establish financial responsibility
1.1. Project Sponsor
1.2. Project Manager
1.3. Developers
1.4. Primary User Group
1.5. Supporting Staff
2. Check-in patients
3. Follow up payments and collections
4. Generate patient statements
5. Follow up payments and collections
6. Monitor payer adjudication
6.1. Definition
6.2. Items to be Delivered
6.3. Extent
6.3.1. Included
6.3.2. Excluded
7. Prepare and transmit claims
7.1. Budget
7.1.1. Materials
7.1.2. Personel
7.1.3. Services
7.1.4. Duration
7.2. Delivery Timeline
7.3. Requirements
8. Check-out patients
8.1. Define Project Schedule
8.1.1. Dependencies
8.1.2. Milestones
8.2. Limitations
8.2.1. Schedule
8.2.2. Budget
8.3. Define Project Development Measurement
8.3.1. KPI's
9. Review billing compliance
9.1. Project Start
9.1.1. Project specifications
9.1.2. End User requirements
9.1.3. Action points sign-off
9.2. Development Stage 1
9.2.1. Define actions as necessary