What is the first step in the claim submission process in the revenue cycle?

The first step in the claim submission process in the revenue cycle is generating claims after services are provided. This is a crucial initial step because it involves creating a detailed record of the services or procedures performed, including the associated codes (CPT/HCPCS codes) and diagnoses (ICD codes). This documentation is vital for accurately billing insurers and ultimately for receiving payment for the services provided.

Once the claims are generated, they are prepared for submission to insurers. Subsequent steps in the claim submission process, such as submitting claims, conducting follow-ups for payments, and receiving payments, occur only after the initial claims generation. Therefore, having accurate and complete claims is essential to ensure a smooth and efficient revenue cycle, minimizing delays and denials in payment.