Health care industry is faced with several challenges such as tightening margins and declining cash flows. What with increasing bad debts, maintaining a steady stream of income has become one of the primary concerns of medical practices and physicians!
Vital Role played by Revenue Cycle Management (RCM) in Medical Practices
Properly managing the revenue cycle of your practice is the foundation upon which financial stability is built. RCM is considered one of the crucial factors that determine the financial well-being of practices. With practitioners being trained to manage patients’ health and being occupied most of the time in treating patients, there is no wonder they lack the financial background essential for managing RCM efficiently. On the other hand, rising costs and demands necessitate greater emphasis on productivity and waste reduction – here’s where the need for effective RCM is felt.
Beginning at the time a patient schedules a visit and extending till you obtain reimbursement for services provided, revenue cycle process needs to be managed efficiently. Including several components that may complicate the entire process, it requires building business side of the practice and improving effectiveness in order to boost profitability and revenue of the practice.
Ways of Improving RCM
Coding & Denial Management
o Accurate coding is essential to avoid denials and delayed reimbursements – it is necessary to avoid claim resubmission and appeals process as far as possible
Right Collection Process
o Although every practice will have its own collection process in place, it is necessary to explore better and more effective processes that facilitate collection from insurance providers and patients – it is essential to have a cohesive collection strategy that is measurable
Front office staff
o Office staff must be capable of running your practice efficiently-practices need to work out the costs of internal billing staff and check whether they are within allowable limits-cost of outsourcing must be compared
Audit & Compliance
o Practices must have proper programs in place for determining whether procedures and policies are being followed -compliance needs must be properly adhered to
Significance of Taking the Right Steps
Healthcare sector is constantly evolving; technological advancements and innovations are on the rise. Not to mention the frequent barrage of payor and governmental regulations. It is imperative to take the right steps toward understanding and enhancing RCM. Outsourcing proves to be most efficient choice for several busy practices with resource constraints.
Numinatrans has been providing effective and reliable medical billing services to health care facilities and physician practices since more than a decade. You may contact us for improving your practice RCM. Visit us on http://www.numinatrans.com/