Best-Fit Revenue Cycle Management Case Study
Selecting the best-fit revenue cycle management (RCM) system for your healthcare organization is critical for success. Beginning before the first appointment scheduling inquiry and continuing through revenue capture and reinvestment, the process must be transparent. To align initiatives with practice objectives, providers depend on a blend of unique data, health intelligence, clinical data, and claims data. As care delivery reimbursement guidelines move away from a traditional volume-based revenue generation model toward the Health and Human Services value-based reimbursement system, practice managers must focus on ways to empower their staff and colleagues to access information that not only improves quality of care, but also enhances customer experience. Cloud-based RCM services support a successful transition with full transparency. …show more content…
An ideal RCM services package considers patient experiences from the first point of contact, whether that is a phone call, a web-based inquiry or a comment on social media. Along with scheduling and registration, frontline personnel gather and verify insurance coverage and discuss payment options with patients. After the point-of-care encounter, administrative staff capture payments, schedule follow up appointments and engage in patient education. Throughout the process, system capabilities should provide a roadmap the supplies real time clinical data that supports quality of care delivery and financial information to assist decision-makers review workflow and fee structures. Predictive forecasting enables financial officers to spot opportunities for new revenue generation. One example, would be identifying patients who may benefit from home monitoring devices for diabetes or heart disease. Supporting Personnel with Functional
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After-Visit Summary Kaiser Permanente
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