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ABA Therapy

RCM Responsibilities

  • August 13, 2025
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Ensora Education Team
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This chart gives a breakdown of customer and account manager responsibilities for RCM accounts.

 

Patient Access
 

System Responsibility Matrix
Scheduling Customer 
Pre-Registration Services Customer
Point of Service Payment (Patient Portal) Customer
Realtime Eligibility Verification Customer
Verification of Benefits Customer
Credentialing Customer
Utilization Review (Authorization) Customer
Contract Management (Exp. Reimbursement) Customer
Over/Under Payment Analysis Customer
CDM Maintenance Customer
Charge Entry Ensora Health
Medical Records Customer
Coding Entry Ensora Health
Coding Direction  Customer
Billing Approval-Render Appointments Customer
Billing Submission Ensora Health
Payer Rejections  Ensora Health/Customer
Follow-Up Ensora Health
Denial Approval Ensora Health
Write Offs & Adjustments Approvals Customer
Write Offs & Adjustments Posting Ensora Health
Cash Posting Ensora Health
Patient Statements Customer
Patient Collections Customer
Bad Debt  Management Ensora Health/Customer

Frequency of Client Report 

M-Monthly, W-Weekly, A-Adhoc

Ensora Health/Customer
List of Reports Clients Receive Ensora Health/Customer

 

 

 

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