From the scenario, determine one (1) key factor driving the reduction in revenue. Recommend a revenue strategy for the organization in the scenario to improve its revenue cycle management. Provide support for your recommendation.

Patient Revenue Management solutions must efficiently manage the business of transforming patient care into positive financial outcomes. Clinical records must be linked with billing data to ensure proper reimbursements. Rules and embedded certifiable HIPAA EDI transaction sets must drive workflow.

Medical billers are incredibly important in every healthcare facility— these providers can't stay in business without good billers. Traditionally, billers have either been trained on the job or have been medical coders who do both the coding and billing. However, the shortage of coders and the growing demand for skilled medical billing specialists has employers looking for professionals who know billing basics. Training with Career Step prepares you for a medical billing-specific career in much less time than it would take if you were gaining coding skills as well.

As a medical billing specialist, you will take the data provided by the medical coders and use it to compile and submit claims to insurance companies and then subsequently bill patients. Day-to-day responsibilities vary from location to location, but often include:
Using coded data to produce and submit claims to insurance companies
Working directly with the insurance company, healthcare provider, and patient to get a claim processed and paid
Reviewing and appealing unpaid and denied claims
Verifying patients’ insurance coverage
Answering patients’ billing questions
Handling collections on unpaid accounts
Managing the facility’s Accounts Receivable reports

Medical billing specialists work in almost every type of healthcare facility, including hospitals, doctors' offices, skilled