Four Step approach for Improved RCM - PowerPoint PPT Presentation

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Title:

Four Step approach for Improved RCM

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Health plan rules and regulations have been constantly changing due to which medical billing; coding and collection processes have become extremely complex. Claims can be denied for various reasons and reimbursements continue to decline. Hence, effective revenue cycle management (RCM) has become all the more important; effectual components being experienced staff, proficient workflow processes, professional EHR systems, and the readiness to learn and adapt (physicians and staff). – PowerPoint PPT presentation

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Title: Four Step approach for Improved RCM


1
Four Step approach for Improved RCM
2
Subtitle / Points
  • Effective revenue cycle management (RCM) has
    become all the more important effectual
    components being experienced staff, proficient
    workflow processes, professional EHR systems, and
    the readiness to learn and adapt (physicians and
    staff).

www.medicalbillersandcoders.com
info_at_medicalbillersandcoders.com
3
Subtitle / Points
Approaches for positive RCM services
  • Step 1 Verification
  • Step 2 PMS and Charge capture
  • Step 3 Automatic payment posting and consistency
    check
  • Step 4 Claims and Real time billing

www.medicalbillersandcoders.com
info_at_medicalbillersandcoders.com
4
Subtitle / Points
  • Verification The RCM approach begins with
    patient registration and verification.
  • Once a patient calls for an appointment, the
    best process is to ensure that the patient
    registers on the hospital's website while
    furnishing all demographics and other details
    (insurance, address etc.).
  • 2. PMS and Charge capture Select the apt
    Practice Management System (PMS) as per the
    healthcare facility's needs (essential/desirable
    features and its integration with EHR).

www.medicalbillersandcoders.com
info_at_medicalbillersandcoders.com
5
Subtitle / Points
3. Automatic payment posting and consistency
check Convert paper EOBs to electronic
transactions 837s to patient accounts by
automatic posting thereby reducing errors, paper
work, staff effort and time. 4. Claims and Real
time billing Claims need to flow efficiently, be
submitted on time (clearinghouse/billing team
finally to insurance payer) and electronically.
www.medicalbillersandcoders.com
info_at_medicalbillersandcoders.com
6
Subtitle / Points
Contact Us
here 4625
Morse RD., Suite 208, Gahanna, Ohio 43230

info_at_medicalbillersandcoders.com

www.medicalbillersandcoders.com
Toll Free
888-357-3226
www.medicalbillersandcoders.com
info_at_medicalbillersandcoders.com
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