The major benefits of RCM include Benefits in terms of Patient Care, Revenue Maximization and Operational Efficiency as detailed below:
Patient Care:
- Systematic review of efficient patient management
- Compliance with International accreditation standards of documentation
- Tracking of patient journey from the time of booking appointment until discharge
- Resulting in optimum patient care and patient satisfaction
Revenue Maximization:
- The healthcare providers can maximize revenue with the clear picture of covered and non-covered services, enabling the physician to maximize the service offering
- Automation of coding guidance to physicians to minimize selection of non-covered services
- Automation to avoid revenue leakage at the time of provision of services and not at the time of batching of claims
- Rejection trend analysis to illuminate the physicians with services that are usually denied by the payer
- Multiple level audits to batch all claims for all services ordered, services billed and services provided
Finance & Back Office Automation:
- Auto posting of all billings in the finance books of accounts
- Auto allocation of all Receipt Advices service-wise in the books of accounts
- Customizable dashboards to monitor status of all claims with payers
- Department-wise and physician-wise performance analysis
- Data analysis guiding in process improvement steps for management