Healthcare Facilities Effective Management.
A physician also referred to as a medical practitioner promotes, maintains or restores health by studying, diagnosing and treating a disease or injury as well as other physical and mental impairments of a patient since he/she has specialized in medicine. Medical practitioner specializes to handle specific category of ailments or can be general practitioners who offer continuing and comprehensive medical care to individuals, families, and communities. Practicing in the medical field as a physician requires one to have knowledge as well as competence.
Practicing medicine in a healthcare facility requires efficient running of activities which are made possible by a revenue cycle management system. Revenue cycles management systems for physicians utilizes a medical billing software that enables to track the patient care in a health facility starting from registration and scheduling of appointments to the payment of all outstanding balances. A revenue cycle management system helps connect the administrative data of a patient such as name, insurance provider and other personal information with the treatment a patient receives and their healthcare data. Nature of a patient’s treatment is categorized according to the International Classification of Diseases, tenth edition(ICD-10) codes which are a clinical cataloging system in a healthcare facility.
Revenue cycle management systems involves several processes. A patient should be insured therefore medical services are rendered into billable charges first where the billable fees are submitted to the insurance company. Determining the balance the patient has to pay is done through coding diagnosis and procedures and the collection of payments. Before a patient arrives for the inpatient or outpatient services, a pre-registration is done and then on arrival registration is done with the patient providing all the required information. Remittance processing allow application or rejection of payment which finally are collected from a third party insurer.
There exist various revenue cycle management companies that offer revenue cycle management services. Selecting the best revenue cycle management company can have an implication of the profitability and efficiency of day to day activities of the healthcare facility. Different revenue cycle management companies offer different pricing and service plans for the revenue cycle management system hence should be critically looked into. A physician should look into the performance guarantee of the revenue cycle management system as well as if software and support are available. The revenue cycle management company should have a way of handling complaints, disputes and questions from customers mostly brought about by billing errors to ensure efficient customer interaction for it to be considered.
A healthcare facility whose administrative and billing systems are run by a revenue cycle management system will reap several benefits. Revenue cycle management systems which have been put in place in a healthcare facility makes running of activities in a hospital easier such as proper billing system, time-saving because all activities are done automatically and also links patients’ administrative data to the treatment received. A hospital or a physician practice can either be made or broken by a revenue cycle management system that is used in the facility.
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