Revenue Cycle Management

The financial health of healthcare organizations depends on effective Revenue Cycle Management (RCM). Historically, RCM operations depended on past data to handle claims processing, billing, and collections activities. Predictive analytics technology enables healthcare providers to forecast revenues more accurately while minimizing bad debt and strengthening cash flow management strategies. Financial trends can be predicted while …

Harnessing Predictive Analytics for Smarter Healthcare Revenue Cycle Management Read More »

The COVID-19 pandemic accelerated telehealth adoption which transformed healthcare delivery and billing processes. The transition of telehealth from an emergency measure to an essential healthcare service required revenue cycle management (RCM) processes to adapt swiftly to new regulatory environments and changes in payer requirements and patient needs.  After the pandemic healthcare organizations need to manage …

A Deep Dive into Telehealth Billing and RCM Trends Post-Pandemic Read More »

Through risk-based contracting, healthcare is going from fee-for-service to value-based care. This new payment model also puts pressure on quality and cost-effectiveness, which will force providers to make more complex Revenue Cycle Management (RCM) arrangements.  The core of this change is the growing dependence on data. The use of data analytics for RCM workflows in …

How Risk-Based Contracting is Shaping the Use of Data in RCM Read More »

In this hyper-dynamic healthcare environment, it is essential for any business to manage revenue cycles effectively if it is going to make money. Revenue Cycle Management (RCM) includes registration, billing, claims, and collections. Many clinicians have used manual RCM workflows, which worked in the past but are now slow, error-prone and time-consuming.  Automated RCM workflows aren’t just …

How to Transition from Manual to Automated RCM Workflows Read More »

As the healthcare sector evolves, Revenue Cycle Management (RCM) is an important factor in organizations staying financially sound. It is your RCM partner that will bring the cash flow flowing, instead of sitting in the revenue funnel. But finding the right match takes analysis and planning. This is the key to figuring out which provider is right for …

10 Questions Every Healthcare Provider Should Ask Before Choosing an RCM Partner Read More »

Revenue Cycle Management (RCM) drives the entire financial business of healthcare to deliver seamless patient billing, claims and revenue cycle management. Outsourcing RCM has become an efficient and cost-effective alternative for healthcare organizations in the present economic and operational landscape. Yet, despite the evidence-based benefits, RCM outsourcing is riddled with rumors and misconceptions that keep providers from …

The Truth About Outsourcing Revenue Cycle Management: Breaking 10 Common Misconceptions Read More »

Revenue Cycle Management (RCM) is the foundation of financial health for healthcare companies. It includes all the administrative and clinical aspects related to claims administration, reimbursement, and revenue generation. But governing the revenue cycle is not about billing and payment, it’s about learning what metrics make a healthcare professional financially sound. Tracking and examining RCM metrics can …

The Ultimate Guide to Revenue Cycle Management Metrics in Healthcare Read More »

The metaverse, a virtual, connected digital universe built on augmented reality (AR), virtual reality (VR), blockchain, and artificial intelligence (AI), is no longer an imaginary distant future. The­ metaverse has be­gun transforming gaming, education, and retail. With the metaverse, healthcare including revenue cycles for providers will be revolutionary once again. Revenue Cycle Management services in …

How Revenue Cycle Management is Adapting to the Metaverse Read More »

RCM is an integral part in financially supporting rural he­althcare services. However, rural healthcare e­ncounters unique challenge­s compared to urban healthcare. Those include limited access to sophisticated technology, disconnected payment networks and a lack of qualified staff. The budgets of rural hospitals and clinics tend to be very small, so every cent counts in the revenue cycle. Besides, …

Innovative RCM Strategies for Addressing Rural Healthcare Challenges Read More »

Big Data is changing everything, and healthcare is no exception. Considering that patients now pay most of the medical bills, this kind of prediction of patients’ financial habits is of primary importance to healthcare professionals.  This is whe­re Big Data comes in. Its ability to analyze the data and find use­ful patterns is its secret …

Leveraging Big Data to Understand and Improve Patient Payment Behavior Read More »