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  2. Revenue cycle management - Wikipedia

    en.wikipedia.org/wiki/Revenue_cycle_management

    Revenue cycle management. Revenue cycle management (RCM) is the process used by healthcare systems in the United States and all over the world to track the revenue from patients, from their initial appointment or encounter with the healthcare system to their final payment of balance. It is a normal part of health administration.

  3. Medical billing - Wikipedia

    en.wikipedia.org/wiki/Medical_billing

    Medical billing. Medical billing is a payment practice within the United States healthcare system. The process involves the systematic submission and processing of healthcare claims for reimbursement. Once the services are provided, the healthcare provider creates a detailed record of the patient's visit, including the diagnoses, procedures ...

  4. ERISA reimbursement - Wikipedia

    en.wikipedia.org/wiki/ERISA_reimbursement

    In the United States, ERISA reimbursement refers to the efforts of an ERISA Plan administrator (an insurer) to obtain repayment from an insured person who had previously received payments for personal injury medical bills. When an insurer pays an injury claim to someone, the insurer can seize cash settlements from whoever caused the injury.

  5. Electronic data interchange - Wikipedia

    en.wikipedia.org/wiki/Electronic_data_interchange

    Electronic data interchange ( EDI) is the concept of businesses electronically communicating information that was traditionally communicated on paper, such as purchase orders, advance ship notices, and invoices. Technical standards for EDI exist to facilitate parties transacting such instruments without having to make special arrangements.

  6. Financial services - Wikipedia

    en.wikipedia.org/wiki/Financial_services

    Change in access to a financial account or services between 2005 and 2014 by country [2]. The term "financial services" became more prevalent in the United States partly as a result of the Gramm–Leach–Bliley Act of the late 1990s, which enabled different types of companies operating in the U.S. financial services industry at that time to merge.

  7. Fee-for-service - Wikipedia

    en.wikipedia.org/wiki/Fee-for-service

    Fee-for-service ( FFS) is a payment model where services are unbundled and paid for separately. [ 1] In health care, it gives an incentive for physicians to provide more treatments because payment is dependent on the quantity of care, rather than quality of care. However evidence of the effectiveness of FFS in improving health care quality is ...

  8. Collectly wants to make paying healthcare bills easier so ...

    techcrunch.com/2023/07/20/collectly-healthcare...

    One report shows that the amount medical providers collected was about 55% of what they were owed in 2021, down from 76% the year prior. “Patient payments overall have to be about $480 billion ...

  9. Balance billing - Wikipedia

    en.wikipedia.org/wiki/Balance_billing

    Japan. Taiwan. References. Further reading. Balance billing. Balance billing, sometimes called surprise billing, is a medical bill from a healthcare provider billing a patient for the difference between the total cost of services being charged and the amount the insurance pays. [ 1 ] It is a pervasive problem in the United States with providers ...