Revenue Cycle Management, to the average person. Perception of income of medical provider has transitioned from that tireless and patient country, “Doc” who took care of families.
It is fancy office mogul who works less and charges more. That first perception was not far from accurate in times past; however, the latter perception is far remove from reality. In fact, the average medical practice today is squeeze from both sides in higher costs just to stay in practice. It is lower fees as compensation for harder work. Revenue Cycle Management: The Financial State of the Medical Industry Today. Compounding this income squeeze for most providers is the fact that it is becoming more and more. It is difficult to get pay in a reasonable time frame for services already render. Unknown with many, there are more than a few medical practices today which are barely able to stay open.
About service provider:
It cannot risk even a temporary dip in cash flow. Sounds far-fetched, doesn’t it? It’s more prevalent than you may think. Doctors are retiring earlier. Practices are selling out to local hospitals and working as employees. Some providers just stop practicing and go to work in research, teaching, or some other field that offers them paycheck. Rather than maintaining their once highly regarding entrepreneurial status. Sadly, the average patient is the ultimate loser in this equation because quality and availability of healthcare will suffer. Yet it doesn’t have to be this way. Technology and “good old American know-how” can put the medical provider back where he or she belongs. Exam room the floor with staff to get resolution on thousands of dollars in outstanding claims and patient balances. There an Alternative for the Local Medical Office. While insurance companies, and government, make it difficult to receive proper reimbursement for services.
What are its aspects?
There are “partnering” alternatives that relieve this burden, yet cost the practice much less than “going it alone.” Contrary to common belief, the medical provider does not have to give up control of the financial and patient communication. It processes to a disinterested third party whose skills and methods. It may be no better than a 9 to 5 office worker in back offices today. There are low cost, flat rate programs from skilled, nationally recognized professionals. They systematically produce “clean,” almost pre-approved, insurance claims, and maintain highly sensitive patient relations based contact for private pay balances. Their proven programs are hail by thousands of providers today. Some of whom claim they would not be in business if not for swift billing. Claim “scrubbing,” and timely follow up these partners provide their medical clients. Revenue Cycle Management (RCM) is the new phrase, replacing “billing and collection.”
Revenue Cycle Management has improved standard billing and collections. In addition, the remaining “denied” or “reject” claims are quickly dispatch using timely, prioritize follow up. Specifically by using a proven “legal contact” methodology of prioritizing claims such that payers actually respond (proactively sometimes). Unresolved claims are processed much sooner than simply relying upon an office worker in the back room, waiting on hold to talk to payers.