The RCM and medical billing glossary
Plain-English definitions of 10 revenue cycle terms, from 270/271 eligibility checks to write-offs. Each one explains what the term means for your claims, your cash, and your audit risk.
Last updated: · Reviewed by Hamza Rehman, MSN, RN
Most looked-up terms
RCM fundamentalsRevenue Cycle OutsourcingHiring an outside company to run some or all revenue cycle functions, such as coding, billing, denial work, or A/R follow-up.Read definitionRCM fundamentalsRevenue Cycle Management(RCM)The full financial process that turns patient care into collected revenue, from scheduling and registration to final payment.Read definitionRCM fundamentalsFront-End Revenue CycleThe patient-facing steps before and at the visit, such as scheduling, registration, eligibility checks, authorizations, and copay collection.Read definitionRCM fundamentalsSuperbillAn itemized form listing the services, codes, and diagnoses from a visit, used for charge entry or for patient reimbursement claims.Read definitionRCM fundamentalsInstitutional BillingBilling for facility services from hospitals, nursing facilities, home health agencies, and hospices on the UB-04 or 837I.Read definitionRCM fundamentalsPayment PostingRecording payer and patient payments, adjustments, and denials against the right accounts and claim lines in the billing system.Read definition
10 terms
Every term here is a place revenue leaks
TruCare OS connects credentialing, intake, billing, and analytics, so eligibility gaps, coding edits, and denials surface before a claim goes out, not after it comes back.