Cash Acceleration Insights to Ensure Revenue Cycle Management Success

Achieving and maintaining financial well-being is a fundamental necessity for the vitality of hospitals and health systems. The ability to successfully navigate the complex landscape of revenue cycle management directly impacts a healthcare organization’s capacity to deliver quality care to its patients and communities. Cash acceleration is a pivotal player in this crucial mission which encompasses accounts receivable management, where a certain age of accounts are utilized to positively impact cash collections. The dynamic relationship between cash acceleration and financial sustainability becomes clearer by staying informed on emerging trends and insights.

Unlocking Efficiency with Technology

At the heart of AR management is the need to ensure that account information is accurate, claim statuses are up to date, outstanding issues are resolved, and patient balances are collected. This is where technology plays an unmatched role.

One of the most significant areas where technology shines is in account information verification and claim status checks. Organizations can save a substantial amount of time and effort when they’re able to automatically verify the status of a claim, saving an average of 17 minutes per claim. When you’re dealing with thousands of accounts, the potential for efficiency gains is nothing short of remarkable. Technology enables the bulk processing of claim statuses, bringing unprecedented value to revenue cycle management.

Understanding Accounts Receivable Challenges

A common challenge in AR management is the aging of accounts, and the main culprit behind this issue is often inaccurate or ineffective billing operations. However, it’s not just providers who contribute to this challenge. Payers can also hold claims, applying rules that might not always be transparent to provider groups. By establishing clearer channels of communication and understanding payers’ processes, we can work towards mutual solutions that enhance the efficiency of cash collection.

Considerations on Patient Balance Collection

Whether provider groups and hospitals should actively pursue the collection of medical debt is a multifaceted issue that demands careful consideration. On one hand, providers need to ensure they are financially sustainable to continue offering quality healthcare services. On the other, there’s a growing recognition of the financial challenges many patients face due to medical bills. Balancing these concerns is a complex task, and it’s one that should be thoroughly considered among individual healthcare organizations.

The financial well-being of healthcare organizations plays a major role in sustaining the delivery of quality care. Cash acceleration, particularly in accounts receivable management, emerges as a crucial factor in positively impacting cash collections. Leveraging technology, and addressing challenges such as billing inaccuracies, payer complexities, and patient balance collections are key to achieving financial sustainability. Staying informed and embracing innovation positions healthcare organizations for a resilient financial future.

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Scott Cooper Headshot

Scott Cooper

President

Scott brings more than 15 years of experience in revenue cycle management to Ovation Healthcare. His career began at companies athenahealth and Nexus Healthcare Solutions where he focused on building tech-enabled revenue cycle services coupled with offshore capabilities to help business find opportunities at scale. At McKinsey & Company, he advised national health systems and RCM service providers on large-scale, operational transformations and performance programs focused on yield improvement and cost reduction. Most recently at Tegria, he led all revenue cycle services, transformation, and integration across the enterprise.