HIMSSCast: The middle section of the revenue cycle can be the hardest

Healthcare Finance News June 21, 2024
Susan Morse

Improvement is all about the cash flow and getting it right the first time, says Ronnie Simpson.

Ronnie Simpson, vice president of Conifer Health Solutions, has worked in the revenue cycle for 15 years. He knows well that of the three parts of the revenue cycle – front, middle and backend – it’s the middle section that often bogs down claims, delaying payment.

“Accounts can be caught in a swirl,” Simpson said.

The middle section of the revenue cycle includes coding, clinical documentation integrity, or CDI, and edit resolution and management.

Obviously, no provider wants accounts waiting on additional documentation to get paid. The best solution is getting documentation and charge capture right the first time, and this means...

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