Chief Financial Officer Director, Revenue Cycle

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Presentation transcript:

Chief Financial Officer Director, Revenue Cycle An HFMA Forums Tool (hfma.org/forums) Meadville Medical Center Health System Centralized Revenue Cycle Organization Chart Vice President and Chief Financial Officer Accounting Director, Revenue Cycle Information Systems Patient Access Services Health Information Management Revenue Integrity/Utilization Management Patient Financial Services Manager Manager Manager Manager Credentialing Registration Charge Capture HIM and Coding Billing and Collections MMCHS RCM TEAM Bob Hoover, Director

Patient Access Services Manager PAS Leadership Lead Registration Clerk QA/Training Coordinator Physician Office Coordinator Lead Support Coordinator Meditech Super Users Admissions OutPatient Registration Vernon Lab Registration Night Shift/ED Registration Evening/Night Registration Pre-Registration Recurring Physical Therapy Referred Labs Amish Contracts Emdeon Quick Pay Financial Counselors Patient Portal

Health Information Management Manager H.I.M. Leadership Meditech Superuser Chart Prepping Scanning Assign Form ID Chart Analysis Inpatient Chart Analysis SDC Delinquent Record Process Birth Certificate Submission Front Desk Release of Information Mill Run Medical Record Storage

Health Information Management Manager Coding Leadership Inpatient Coding SDC Coding ER Coding Ancillary Coding Re-Grouping Report Pain Management Coding TCU and Rehab Concurrent Coding Physician Office Coding Coding Support

Health Information Management Manager Transcription Leadership Review of Missing Information Quality Assurance Telephone Support Nuance Medical Transcription

Revenue Integrity/Utilization Management Manager Chargemaster Coordination Claims Audit Coordination - Medicare Claims Audit Coordination-All Other Payers Denials Management Coordination Reimbursement Coordination Physician Coding UM Clinical Documentation UM Review Nurses Employee Plan Health

Patient Financial Services Manager PFS - Physician Leadership PFS- Hospital Leadership Physician Charge Entry Physician Coding/Abstracting Cashiering Self Pay / Collections / Bad Debt Claims Integrity Specialist

Patient Financial Services Manager Medicare Accounts Receivable Management Blue Cross Accounts Receivable Management Blue Cross Payment Variance Reconciliation Commercial Accounts Receivable Management Commercial MA & VA Accounts Receivable Management Medical Assistance Accounts Receivable Management Secondary Accounts Receivable Management ePremis Reconciliation Client Accounts Receivable Management

Director, Revenue Cycle Provider Credentialing Director, Revenue Cycle Credentialing Coordination Credentialing Support eTransmedia Source: Meadville Medical Center Health System, Meadville, Pa. Used with permission.