PLAYBOOK CHAPTERS:
- OVERVIEW
- INVASIVE PROCEDURE CARE
- PATIENT SAFETY
- WORKFORCE SAFETY
- PATIENT FLOW
- CLINICAL PRIORITIZATION
- FACILITY
- CLINIC / VIRTUAL CARE
- PATIENT SAFETY
- WORKFORCE SAFETY
- PATIENT FLOW
- CLINICAL PRIORITIZATION
- VIRTUAL CARE
- NON-INVASIVE IMAGING CARE
- PATIENT SAFETY
- WORKFORCE SAFETY
- CLINICAL PRIORITIZATION
- FINANCES / REVENUE CYCLE
- REIMBURSEMENT / COST
- WORKFLOW
- METRICS / TOOLS
- STAFFING
- LEADERSHIP & GOVERNANCE
- GOVERNMENTAL FINANCIAL SUPPORT
- QUALITY PROGRAMS
- ORGANIZATIONAL STRUCTURE
- COMMUNICATIONS
- LEGAL / COMPLIANCE
- HUMAN RESOURCES
- EMPLOYEE SAFETY
- LEGAL / COMPLIANCE
The definition of the revenue cycle encompasses “all administrative and clinical functions that contribute to the capture, management, and collection of patient service revenue.” In optimizing your revenue cycle, three major end-to-end areas are critical: front-end, middle, and back-end processes.
As we begin the reemergence of services, there are several operational considerations and opportunities to explore. The landscape of healthcare has changed with COVID-19 and will have an immediate and long-term impact on reimbursement for professional services. The goal is for this framework to assist with continuing to break down the silos of critical revenue cycle areas, identify "new" opportunities for reimbursement and ultimately assist with the reemergence of your programs.
This graphic illustrates the critical areas of the revenue cycle.
Managing your revenue cycle response during COVID-19 is necessary in painting the picture for financial projections. We are working with many solutions in our new world that impact the people, processes, technology and ultimately reimbursement of services. Focusing on the immediate needs of our programs and planning for reemergence present another layer of potential potholes. Having a coordinated plan that continues to manage changes, measures performance and sets goals is critical. Below are some potential pitfalls and pearls to consider through the journey.

