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NOTICE: This document contains confidential or proprietary information which may be legally privileged. It is intended only for the named recipients, and may not be shared with vendors outside of Craneware.

p.27

8

DENIAL &

APPEAL

MANAGEMENT

CLAIMS

SUBMISSION

9

THIRD PARTY

FOLLOW-UP

10

PAYMENT

POSTING

11

13

CONTRACT

NEGOTIATION/

ADMIN.

14

REJECTION

PROCESSING

12

8 MEDICAL

RECORDS &

CODING

SCHEDULING

1

PRE-REG &

PRE-CERT

2

INSURANCE

VERIFICATION

3

FINANCIAL

COUNSELING

4

REGISTRATION

& POS CASH

COLLECTIONS

5

CHARGE

CAPTURE

& ENTRY

7

6

MEDICAL

MANAGEMENT

= Patient Access Functions

= Medical Management Functions

= Receivables Management Functions

Revenue Management

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