Key Thoughts on Improving the Healthcare Revenue Cycle Efficiency

By CIOReview | Friday, March 29, 2019

Healthcare industry is engaging in complex payment models, and now healthcare providers must automate critical functions to enhance the efficiency of the healthcare revenue cycle.  From patient access to registration, billing, and coding, organizations must achieve revenue cycle efficiency and must ensure that providers get paid promptly and accurately. Automation is the key to streamline the revenue process and boost overall productivity and efficiency.

• Automate the revenue cycle

Advancements in technology are favorable for the healthcare sector to progress. Providers are adopting a wide range of technologies to deliver innovative and modern facilities to their patients. Revenue cycle automation significantly reduces the administrative burden on the personnel thereby streamlining the workflow, reducing human error, and labor costs as well. However, organizations must integrate the right technology to achieve efficiency. It is essential for provider organizations to invest in revenue cycle management technologies that can be incorporated into the established workflows and legacy systems; otherwise, it will turn out to be another complex revenue cycle.

• Focus on Frontend improvements and Backend Challenges

Improvements in the frontend processes can assist providers in preventing common errors that lead to underpayments, backend issues, and claim denials. Also information like, incorrect patient demographic data is one of the top reasons why payers deny claims. Providers and the employees spend more time on non-clinical, administrative tasks, and manual frontend adds on to the existing burden.

Automating prior authorizations benefits verification, patient registration and other frontend workflows can significantly improve revenue cycle efficiency. Technology assists in data collections and ensures that the necessary information is collected even before the patient’s arrival.  

• Transparency and Patient Billing

Healthcare sector is rapidly evolving, and the coming phase will involve patients choosing where their healthcare dollars would go. The rise in patient financial responsibility can slow down the revenue cycle process as providers would wait for patients to pay their medical bills. Providing patients with the price estimates before the services, offering convenient payment options, and automating medical billing will make the process more convenient.

As the healthcare sector evolves, revenue cycle process becomes more challenging. Manual processes will no longer keep up with the increasing complexity of the healthcare industry; especially when there is fierce competition and customers demand for valuable services. Adopting the right technology at the right time can help providers quickly adapt to the evolving industry needs.

Check out: Top Revenue Cycle Management Service Companies