How a Well-Managed RCM Program Benefits the Healthcare Industry

Hospital revenue cycle management manages the money and time it takes to turn bill payments from one provider into charges for services rendered. The hospital revenue cycle management is meant to maintain the monetary soundness of the institution.

The Relation of Revenue Cycle Services with Health Systems

The health care revenue cycle management system follows the following steps:

1. Claim prevention, where the hospital employees confirm the patients' insurance coverage and their information is captured to determine their eligibility before the treatment is done.

2. Claim submission, where the claim is created and submitted to the insurance once the patient's eligibility is determined.

3. Claim management which follows the insurance's response, the claim is managed through the allocation of the appropriate payments.

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