AORN Journal
Volume 86 , Pages S59-S74 , December 2007

The revenue cycle: What it is, how it works, and how to enhance it

  • Marilyn Hart Niedzwiecki, RN, CNOR, CPC, CPC-H, CPA

      Affiliations

    • Marilyn Hart Niedzwiecki, RN, CNOR, CPC, CPC-H, CPA, is a chargemaster coordinator at Childrens Memorial Hospital, Chicago.

References 

  1. Waymack PM . “Looking reality straight in the eye: Five claim denial facts every CFO should know,” . Healthcare Financial Management . March 1, 2006;44–47
  2. “Board brief: Ensuring transparency in Health Care,” The Walker Co . http://www.scha.org/documents/boardbrief_-_Ensuring_transparency_in_health_care_1.pdf (accessed 22 Aug 2006).
  3. “Diagnosis-related group,” Wikipedia . http://en.wikipedia.org/wiki/Diagnosis-related_group (accessed 22 Aug 2006).
  4. “Statistics from the HCUP-3 nationwide inpatient sample for 1994: Diagnosis-related groups,” Agency for Healthcare Research and Quality . http://www.ahcpr.gov/data/hcup/94drga.htm (accessed 7 Aug 2006).
  5. “Hospital outpatient PPS,” Centers for Medicare and Medicaid Services . http://www.cms.hhs.gov/HospitalOutpatientPPS/ (accessed 1 Aug 2006).
  6. Dolinar R , Leininger SL . “Pay for performance or compliance? A second opinion on Medicare reimbursement,” The Heritage Foundation . http://www.heritage.org/Research/HealthCare/bg1882.cfm (accessed 4 Aug 2006).
  7. “Revenue code to cost center crosswalk,” Centers for Medicare and Medicaid Services . http://www.cms.hhs.gov/hospitaloutpatientpps/03_crosswalk.asp (accessed 24 July 2006).
  8. National Uniform Billing Committee  . UB-92: National Uniform Billing Data Element Specifications as Developed by the National Uniform Billing Committee . Chicago: American Hospital Association; 2002; 11. Also available at http://www.carefirst.com/pages/mdmedicare/pdf/UB92%20MANUAL%20Nov%2002.pdf (accessed 1 Aug 2006).
  9. “Hospital outpatient PPS: Overview,” Centers for Medicare and Medicaid Services . http://www.cms.hhs.gov/hospitaloutpatientpps/01_overview.asp? (accessed 24 July 2006).
  10. Hospital Chargemaster Guide . Salt Lake City: Ingenix; 2006;
  11. Millman D , Zimmerman E . “Bracing for new Medicare payment systems,” . Orthopedic Technology Review . July/August 2000;2: Available at http://www.orthopedictechreview.com/issues/julaug00/editorial.htm (Accessed 28 July 2006).
  12. Bauer JC , Hagland M . “Consumer-directed health care: What to expect and what to do: Consumer-directed health care is here, and CFOs can be the change leaders for their organizations,” . Healthcare Financial Management . July 1, 2006;76–82
  13. “International classification of diseases (ICD),” World Health Organization . http://www.who.int/classifications/icd/en (accessed 7 Aug 2006).

 The behavioral objectives and examination for this program were prepared by Rebecca Holm, RN, MSN, CNOR, clinical editor, with consultation from Susan Bakewell, RN, MS, BC, education program professional, Center for Perioperative Education.This program meets criteria for CNOR and CRNFA recertification, as well as other continuing education requirements.AORN is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center's Commission on Accreditation.AORN is provider-approved by the California Board of Registered Nursing, Provider Number CEP 13019. Check with your state board of nursing for acceptance of this activity for relicensure.

PII: S0001-2092(07)00703-X

doi: 10.1016/j.aorn.2007.11.007

AORN Journal
Volume 86 , Pages S59-S74 , December 2007