AR EN

SELAT

RCM

RCM FOR EVERY STEP
IN THE PROCESS

Revenue Cycle Management (RCM) is the administration of financial transactions that result from the medical encounters between a patient and a provider, facility, and/or supplier.

These transactions include, without limitation, billing, collections, payer contracting, provider enrolment, coding, data analytics, management, and compliance.

In the medical industry, both revenue cycle and clinical care success are dependent on the accurate and timely communication through a complex set of systems and people.

The patients’ journey is a complex and highly involved process.

The complexity of the successive events begins at the point of patient contact all the way to the patient discharge and the full collection of the hospital dues.

Healthcare revenue cycle management consultation ensures the partner’s financials are healthy, so that the partner can concentrate on patient care.

How can Revenue Cycle
Management benefit my healthcare center?

A credible performance baseline, formalized redesign process and disciplined project management are critical. RCM consultants, leveraging proven methodologies, takes a deliberate and precise approach toward analyzing and improving key components of the revenue cycle toward optimization. RCM consultants assess partner’s revenue cycle, benchmark it against industry leading practice Key Performance Indicators (KPIs) and implement recommendations designed to generate measurable financial results.

Achieving sustainable performance and cash flow can only be done operating a smart business with measurable events from patient services to billing and claims to comprehensive accounts receivables management.

RCM Consultant should work closely with the partner to implement a well-defined set of Key Performance Indicators with measurable values that demonstrate how effectively the organization is meeting the desired business objectives such as:

1

Gaps between Actual Service Delivery Date and the Claim Interface Date

2

Cross-Referencing Charges Billed Against Appointment Schedule

3

Percentage of Clean Claims

4

Reimbursement Turnaround Time

5

Denial Ratio

6

Monitoring Insurance AR

7

Aging Days