Preview

Revenue Cycle Management

Good Essays
Open Document
Open Document
748 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Revenue Cycle Management
Synopsis - Integrated solution for Revenue Cycle Management and Medical Records
Overview

Physician practices are being called on to do more than ever before. Today's physicians must treat more patients, document interactions more meticulously, wrangle with more complex managed care rules, keep track of an ever-expanding array of drugs, submit and track claims and pay rising malpractice insurance bills. In many cases, physicians must treat 20 percent more patients than they did five years ago to generate the same revenue. In the face of these burdens, some practices are struggling to remain financially viable. For many practices, the biggest impediment to meeting these challenges is continual administrative burden, a lack of automated clinical documentation, and inefficient practice workflow systems. Despite the dramatic advances in many areas of healthcare technology over the past several years, most physician practices—especially small and midsize ones—are still using the same manual and paper-based office management systems they've used for decades. With mounting pressure from insurers, government agencies, and patients, physician practices need to reexamine the ways they work and interact. As physicians see more patients and insurers demand reformed documentation for rapid processing of claims, the manual healthcare systems that were adequate in the past will become less and less able to meet new demands.

The problem
The paperwork burden among solo/small group physicians' is immense, adversely impacting the quality of patient care. In addition a common glitch in all the revenue cycle stages are inefficiencies, resulting in delays and loss of recoverable revenue.

The consequences

Revenue Cycle Management Medical records
• Disproportionate amount of working capital tied up in receivables
• The highest cost of collection in comparison to other industries
• The average M.D. physician has more than $150,000 in outstanding accounts receivables at

You May Also Find These Documents Helpful

  • Good Essays

    Revenue Cycle

    • 1015 Words
    • 8 Pages

    Revenue Cycle Education Improvement Strategies Presented by: Colleen Malmgren, MS, RHIA Fairview Health Services cmalmgrl @fairview.org Definition of Revenue Cycle All administrative and clinical functions that contribute to the capture, management and collection of patient service revenue *HFMA Scheduling/Registration Health Info Mgmt Case Management Pt Financial Srvcs Charge Capture Revenue Audit Chargemaster Establish Performance Indicators Establish measures that go beyond Accounts receivable days (A/R days), Discharged not Final Billed (DNFB)…

    • 1015 Words
    • 8 Pages
    Good Essays
  • Better Essays

    Nt1330 Unit 3 Assignment 1

    • 1092 Words
    • 5 Pages

    Computer technology continues to make rapid advances in healthcare facilities. Many healthcare facilities have used computer programs for administrative functions such as payroll and billing. Electronic health record (EHR) systems have the potential to transform the health care system from a mostly paper-based industry to one that utilizes clinical and other pieces of information to assist providers in delivering higher quality of care to their patients.…

    • 1092 Words
    • 5 Pages
    Better Essays
  • Better Essays

    Hcs 571

    • 3299 Words
    • 14 Pages

    Health care organizations have invested heavily in computer technology. The health care organizations use computer technology and electronic health record in the actual delivery of care and to support clinical areas. The four principal uses of computers for nursing are for general information, clinical applications, research, and financial management.(Finkler, Ward, & Baker, 2007). The health care organizations are in the process of major transformation, and becoming more complex. It is very important to maintain the safety of patient and to provide high quality care. (Ting, Tsang, Ip, & Ho, 2011). The electronic health record system is considered as a means of technological efficiency to reduce the cost in healthcare organization. The need for EHR in healthcare organization is based on certain evidences like, It supports guideline-based care, increased patient monitoring, act as an efficient technological tool for effective communication in areas related to patient care, and improves coordination of care(Song,…

    • 3299 Words
    • 14 Pages
    Better Essays
  • Better Essays

    Health care technology continues to change every day. Look back to many or several years ago how our information was stored at doctors’ offices. Due to the growth of the internet, the evolution of electronic medical records and electronic health records has dramatically changed how physician-client information is exchanged. In the past you could walk into the doctor’s office an see massive charts scattered around everywhere. The front person would check in you, answer phone and then have to search for your chart. Now she only has to enter your name in the computer and all of your medical history that is allowed to be there is there. Today most doctor offices, clinics and hospitals use multiple high-tech computers. Overall, it has been a big advancement in technology .And everyone has benefited from the advancement of technology, the ease of availability of laboratory results, and the electronic ability to refill medications during an office visit. Both parties involves now have the capacity to share important health information by either the internet or…

    • 1512 Words
    • 7 Pages
    Better Essays
  • Satisfactory Essays

    Electronic Medical Errors

    • 348 Words
    • 2 Pages

    Errors in the healthcare industry can literally cost someone his or her life, not to mention open the door for an unending mountain of lawsuits. In order to reduce the chances of this happening, your healthcare organization must be proactive about increasing efficiency, and reducing errors. These are two common problems that plague the healthcare industry. With electronic medical records you can significantly reduce both of these problems and help your healthcare organization run more smoothly! In order to reduce errors you must reduce the number of times something is transcribed by hand and passed from one healthcare provider to the next. With electronic medical…

    • 348 Words
    • 2 Pages
    Satisfactory Essays
  • Better Essays

    The changes in medical records have altered tremendously over the past decade. The most significant change was the merging of paper medical records to electronic medical records. However, there is still room for necessary improvement and upgrades. Electronic Medical Records are thought to improve certain areas in the deliverance of healthcare services. With current situations, not all healthcare facilities have converted to or adopted the use of Electronic Medical Records. The failure to adopt or convert to Electronic Medical Records brings about incidents and stories similar to that of the real-life story of “Where’s My Chart?” written in the textbook entitled Electronic Medical Records by Richard Gartee. The prominent answer to “Where’s My Chart?” is the adoption and implementation of Electronic Medical…

    • 1118 Words
    • 5 Pages
    Better Essays
  • Good Essays

    It can be expensive, especially for small surgical centers, private physicians and rural out-patient clinics. Carefully structuring agreements that address collection protocol and commission levels will help control costs. Locating a partner that has compatible technology that will not require updating infrastructure is essential for enterprises with limited…

    • 567 Words
    • 3 Pages
    Good Essays
  • Good Essays

    uncollectible accounts

    • 668 Words
    • 2 Pages

    FASB ASU—Health Care Entities (Topic 954): Presentation and Disclosure of Patient Service Revenue, Provision for Bad Debts, and the Allowance for Doubtful Accounts for Certain Health Care Entities HYPERLINK "http://www.fasb.org/cs/BlobServer"…

    • 668 Words
    • 2 Pages
    Good Essays
  • Good Essays

    Annotated Bibliography

    • 1342 Words
    • 6 Pages

    Hsiao, C., Hing, E., Socey, T., & Cai, B.(2010) Electronic Medical/Electronic Health Record Systems of Office-based Physicians: United States, 2009 and Preliminary 2010 State Estimaies. Retrieved from CDC website…

    • 1342 Words
    • 6 Pages
    Good Essays
  • Better Essays

    Patient Intake Process

    • 893 Words
    • 4 Pages

    Again, the question at hand is how the whole process can be made more efficient, not only for the office staff and physician, but also for the patient. The use of electronic health information change can make the process more efficient. “Health care organizations need to do more to help patients realize the full benefits of electronic data from emerging health information exchange systems, according to a new study commissioned by Consumers Union that appears in the March 2012 Health Affairs”, according to American Nurse. With the development of the electronic health information exchange networks, patient’s information…

    • 893 Words
    • 4 Pages
    Better Essays
  • Powerful Essays

    Annotated Bibliography

    • 1942 Words
    • 8 Pages

    Some health care industry are slower in replacing paper records with electronic ones. She said despite the advantages it has some barriers which include upgrading the technology of current systems and getting everyone on the same page, as well as the fact that there is no universal electronic health record system, but rather hundreds for hospital to choose from will only be overcome if a multidisciplinary team of health care professionals works together to make sure the systems meet everyone’s need. “One of the reasons for nurses to embrace the technology is that electronic medical records help improve the level and consistency of patient care” Pat Wise MSN,RN, vice president of electronic health records for the Healthcare Information and Management Systems Society…

    • 1942 Words
    • 8 Pages
    Powerful Essays
  • Good Essays

    Electronic Prescription

    • 841 Words
    • 4 Pages

    It is sometimes difficult to streamline the workflow process. Change is a limiting factor and can be difficult for some people. The Financial Cost and Return on Investment (ROI) to purchasing, implementing, supporting and maintaining the system can be challenging for smaller clinical practices. Change in management is a challenge especially in a busy facility where health care staff are used the current management system and have to transition from paper-based prescriptions to e-prescribing. Hardware and software selection. Choosing the right hardware and software applications is also challenging. Issues with Integrity of data input. The issues with Security and Privacy poses a problem. The inability to use electronic prescribing when the System Down and fallbacks procedures and mechanisms must be established (Salmon & Jiang,…

    • 841 Words
    • 4 Pages
    Good Essays
  • Good Essays

    Preregistration was created in an effort to decrease receptionist and billing office workload and patient waiting time on arrival to the clinic. If only 16% of the registrations are completed upon arrival, then patients will have longer wait times as receptionists are gathering demographics and billing offices are completing insurance authorizations. This incomplete registration process creates an escalating effect as nursing staff remains delayed all day and must perform service recovery with patients for the delays. Appointments are generally late and providers sense that patients are frustrated before the physician can begin care. Because staff are rushing through appointments, the billing office has identified that care is given that cannot be reimbursed due to incomplete records. In reviewing each stakeholders’ point of view, preregistration is one large problem that needs process improvement. The goal of this performance improvement project is to streamline the registration process in an effort to decrease wait times upon arrival to the clinic. Removal of wait times will have an inverse relationship with patient satisfaction, thus as wait time decrease, satisfaction scores should…

    • 791 Words
    • 4 Pages
    Good Essays
  • Satisfactory Essays

    The clinical information system application that I feel I would recommend that the accountable care organization start with to maximize its potential to improve quality and exceed CMS’ performance criteria is electronic medical record because it is better upgraded for the safety of a patient and intensify health quality and it also lower cost. An electronic health record is also a digital documentation of an individual's medical history that is maintained by health professionals and official agencies. Electronic medical record is medical records of patients and has official permission and approval to be viewed by those who work as a professional employee in the health care facility. Physicians’ offices, medical health professional, and hospitals are the one to use electronic medical record the most because this allows them to look into the computer files and retrieve any patient record and medication record. Health care organization can input or view patient records, communication, legal documents, billing and quality management (Wagner, Lee, Glaser & Burn 2009). CPOE system is a system that helps lower mistakes when there is poor handwriting of a written or printed representation of medication prescriptions. CPOE systems are a plan drawn out design to imitate the sequence of industrial, administrative, or other processes through which work passes from initiation to completion of the paper chart. CPOE systems frequently used in two or more electronic prescribing a technology framework that prescriptions that give the necessary time or opportunity for physicians and other medical practitioners to write and send prescriptions to a part taking pharmacy electronically instead of using things written by hand or faxed notes or calling in prescriptions that give the necessary time or opportunity which alerts physicians and clinics to an individual drug, or important medication. Wager, K.A., Lee, F.W., Glaser, J.P., Burns, L.R. (2009). Health care information…

    • 316 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    The first commercial electronic medical record was implemented in 1971, in a hospital in central California. The key to its success was the integration, ease of use, and clinical workflow support. Physicians, nurses, and pharmacy clinical processes were integrated into a single version and also the eMar. Computerized provider order entry has freed nurses from order transcription and order-clarifying phone calls. Test results are available shortly after the tests are complete and interventions are being implemented in a timely manner.…

    • 297 Words
    • 2 Pages
    Good Essays