Tag: RCM outsourcing

future of RCM in 2025

Decoding 2025: The RCM Revolution

As the healthcare landscape continues to evolve at an unprecedented pace, 2025 is poised to be a landmark year for revenue cycle management (RCM). With regulatory changes, emerging technologies, and shifting patient expectations, healthcare providers and RCM professionals must stay ahead of the curve to optimize financial performance and patient care. In this newsletter, we […]
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End-to-End Revenue Cycle Management: A Comprehensive Guide

End-to-End Revenue Cycle Management: A Comprehensive Guide

End to end RCM (Revenue Cycle Management) encompasses every step in the healthcare payment process, from patient registration to final reimbursement. By adopting a comprehensive RCM approach, healthcare organizations can improve cash flow, minimize errors, and ensure compliance with ever-changing regulations. This blog will explore the components, benefits, and best practices for implementing an end […]
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RCM Outsourcing

Healthcare: The Role of RCM Outsourcing and Technology

The U.S. healthcare industry, marked by its global leadership in spending, faces mounting pressures due to evolving care models, supply chain disruptions, regulations, labor shortages, and rising costs. To navigate these challenges, healthcare leaders are prioritizing quality care delivery while also optimizing administrative operations, including revenue cycle management (RCM). Outsourcing RCM has become a key […]
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AI and automation

The Future of RCM: AI and Automation

 Healthcare’s financial management has become more complex as it grows. Revenue Cycle Management (RCM) is no longer just a collection of billing and payment procedures. As a strategic, data-driven function, it has become an integral part of healthcare organizations’ financial health. Increasing administrative burdens, regulatory changes, and shrinking margins have caused many providers to turn […]
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Addressing Common Pain Points in RCM And How Outsourcing Alleviate It?

Addressing Common Pain Points in RCM And How Outsourcing Alleviate It?

Revenue cycle management (RCM) is an intricate and critical aspect of the healthcare industry, encompassing the entire process from patient registration to reimbursement. However, RCM processes often face challenges, leading to pain points that can hinder efficiency, increase costs, and negatively impact patient satisfaction. Outsourcing Revenue cycle management services offers a viable solution to alleviate […]
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Healthcare Finance Leaders Facing Revenue Cycle Workforce Shortages

Healthcare Finance Leaders Facing Revenue Cycle Workforce Shortages

More than 400 healthcare finance leaders reported having revenue cycle workforce shortages, with almost 20 percent seeing 30 or more vacancies. Healthcare finance leaders are experiencing revenue cycle workforce shortages, with one in four reporting that they need to hire more than 20 employees to fully staff their department, according to a survey commissioned by […]
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5 Benefits of Addressing Payment Integrity Before Payments Are Ever Made

5 Benefits of Addressing Payment Integrity Before Payments Are Ever Made

Payment integrity in Medicaid—the concerted effort to keep tight control over fraud, waste and abuse—can be addressed at any stage in the claim cycle. Of course, the earlier it is addressed, the easier it is for health plans to avoid improper payments and the administrative burden of recovering them. And while pre-payment integrity programs maximize […]
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CMS Issues Contract Year 2023 Final Rule for Medicare Advantage Organizations and Prescription Drug Sponsors

CMS Issues Contract Year 2023 Final Rule for Medicare Advantage Organizations and Prescription Drug Sponsors

  On April 29, 2022, the Centers for Medicare and Medicaid Services (“CMS”), issued the final rule on Contract Year 2023 Policy and Technical Changes to the Medicare Advantage and Medicare Prescription Drug Benefit Programs (the “Final Rule”).  CMS promotes the Final Rule as advancing “CMS’ strategic vision of expanding access to affordable health care […]
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What is the HIPAA Security Rule?

What is the HIPAA Security Rule?

The HIPAA Security Rule requires covered entities and business associates to implement technical, physical, and administrative safeguards. The Health Insurance Portability and Accountability Act of 1996 (HIPAA) required the HHS secretary to develop rules for safeguarding electronic protected health information (ePHI). Out of these requirements, HHS created the HIPAA Privacy Rule and the HIPAA Security […]
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