RCM in pediatrics involves several key components: 1. Patient Scheduling and Registration: Accurate patient information is critical for insurance claims and billing. 2. Insurance Verification: Ensuring that the patient's insurance is valid and understanding the coverage details. 3. Charge Capture: Accurately recording the services provided. 4. Coding: Using correct ICD-10 and CPT codes for pediatric services. 5. Claim Submission: Sending claims to insurance companies. 6. Payment Posting: Recording payments received from insurers and patients. 7. Denial Management: Handling rejected claims and resubmitting them. 8. Patient Billing: Collecting payments from patients for their portion of the bill. 9. Reporting: Generating financial reports to analyze the practice's performance.
