Innovative Approach to End-to-End Revenue Cycle Management
Revenue sets the life standard of your living since it is the total money which your savings and expenses prefer on. Revenue is otherwise called as profit too. In health care industry there are more ways to increase revenue but when you want your revenue to increase with a flawless way you can just get into Revenue Cycle Management which helps in managing your incomes and expenditures in a systematic way.
What is RCM?
In a healthcare industry there are several important things for calculating Revenue Cycle Management and they are perfectly dependent on patients. The details needed for RCM are
- Name of the patient
- Being treated for which illness
- Name of the physician who treats him
- Insurance eligibility
- Insurance verification
- Past medical history
- Payment posting
And so on. Beyond all these the basic information of the patient should be collected like address and other details. All these details must to 100% genuine because any wrong entry or fake information can cause a big loss to your organization.
The foremost important persons in RCM are four and they are
- Patient
- Medical institution
- Medical billing provider
- Insurance payer
This is a joint circle in which all these are connected without an end. There may be lots of doubts like if the patient does not possess medical insurance then insurance company can get certain details from him and provide him cash on his emergency situation and the patient must pay him after his recovery.
If insurance got denied it is prime duty of the medical industry to check and correct the error and re-submit them for sanction of expenses for treating the patient. So check for the service provider who can work with dedication in this critical process of data collection.
Upright service provider
Check for these quantities from your provider
- Speed in entering bills
- 24*7 support services
- Transparency in cash flow
- Best RCM services
- Hands on experts
- Best coding soft wares
- Soft wares with 100% security
- ICD with 10th revised version
- HIPAA EDI standards
The ICD revised version 10 has extended code sets because there are plenty of new diseases and viruses spreading. All new ones cannot be added in old ICD’s like 9th version and others. Only 10th version can support latest diseases infecting people. So check whether your provider is having a well-equipped software system.
Insurance Claims
By introducing insurance claims in RCM can timely save a person from dying but he must start paying for his financial expenses after his recovery. Having a good health is just not a simple thing it is the only asset which helps in survival. Money can be earned any day but life cannot be applied as same principle. Based on that criterion insurance claim has come nearer to the most beneficial part of a patient.
This is the improvement is technology that we are living in. In future world it may take new forms which cannot be predicted now. In olden days people after applying for insurance needed to wait in long queues which paved to loss of many lives but current technology is helping us to save our fellow person’s life in micro seconds.
