Running head: PROPOSAL FOR BILLING CHANGES1IntroductionThis proposal aims to recommend evidence-based revenue cycle process as a componentof implementing necessary billing changes in the clinic. Factors that influence pricing, anappropriate method of determining a pricing structure, handling of private pay and charity care,and an installed billing software system are also recommended. These factors are essential in theformation of appropriate changes in the billing system (Ginter, Duncan, & Swayne, 2018).Billing changes are also beneficial to the physician, the clinic, and patients.Revenue Cycle ProcessThe healthcare revenue cycle starts with scheduling. This will help validate thedemographic information of the patient, establish that medical necessity requirements have beenmet, and effectively schedule the requested service from a written order (Ginter, Duncan, &Swayne, 2018). It is then followed by patient access. This process is essential to confirm theidentity of the patient, to accurately and efficiently obtain the patient demographic and financialinformation, check for medical requirements for unplanned outpatient services, and carry outinitial financial conversations with uninsured and underinsured patients (In Abdelhak & InHanken, 2016).Insurance verification is the next step, which is tasked with ensuring third-party coveragefor received clinical services. The restrictions in coverage and patient benefits should beconfirmed directly with the pay ...
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