3 Major Ways in Which Healthcare Providers Can Control Their Revenue Function
Managing revenue is critical for healthcare practices. It helps them maintain the financial health of their business. To ensure complete and timely reimbursements, healthcare practices must ensure effective implementation of revenue cycle management strategies. Efficient healthcare revenue cycle calls for regular auditing and revamping of financial processes.
The following are the ways used by healthcare providers to control their revenue functions:
Maintaining Medical Coding Accuracy
Medical codes make up a major part of medical claims. They need to be coded accurately for the medical claims to be accepted. The coders need to adhere to various coding classification systems such as CPT, ICD and HCPCS. When the medical codes fail to be compliant and specific, the medical claim is denied. Hence, the medical coders need to stay vary of upcoding, under coding, incorrect, mismatched or missing codes. When coding accuracy is improved, the revenue cycle management process can see more inflow of money.
Effective Denial Management
The possibilities of denial of claims is always high. It is necessary for medical practices to have efficient ways to handle denied claims. An easy way out for billers is to use a denial management software to simplify error identification. Once the errors are identified in the claim, the medical billers can understand the pattern and take steps to plug the gaps. This way many errors in the process can be nipped in the bud.
Establish A Well-Defined Payment Collection Process
The revenue cycle management proceeds through a set of sequential steps. These steps involve the establishment of clear terms and conditions for payments to avoid misunderstandings with the patients. Some other important steps are, to collect and verify patient information, check their insurance eligibility, follow-up with the patient, provide them with flexible payment options etc
Healthcare providers need to follow a proactive revenue cycle management process to increase cash flow without delays. They must collect patient co-pays and other balances up front to avoid the hassles of following up or unnecessary paperwork. By keeping track of the pending accounts receivables and following compliant medical billing protocols, medical providers can ensure complete reimbursements. In this way, they can stay ahead of the game in the contemporary healthcare economy.