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Primary Care Billing Services | Trends In Revenue Cycle Management

Primary Care Billing Services

In the wake of the huge numbers of COVID-19 infection caused by the global coronavirus pandemic, medical practices both large and small are reviewing their revenue model as they start to observe more patients returning. After several years of social exclusion and shelter-in place orders, you can expect that more patients will be walking through your door once more for appointments that they canceled or for tests and procedures that were put off. When you’re looking at the revenue flow it’s important to think about how you can get the most benefit from your setup for managing revenue cycles.

In the end, effective control of revenue cycles is the foundation of your business’s ongoing growth. If you have a standalone RCM system in your facility or outsource this crucial task to a third-party firm through cloud computing, it’s important to be aware of the latest developments in your primary care billing services processes. Be aware of developments in the field of healthcare revenue cycle management can allow you to maximize the value of your company.

Primary Care Billing Services

Primary Care Billing Services | Trends In Revenue Cycle Management
Primary Care Billing Services | Trends In Revenue Cycle Management

Here are five major RCM trends you’ll be keeping watch for in 2022:

1. Medical Practices Will Focus on a Patient-First Approach

To increase the flow of income for your business It is advisable to take a more patient-focused approach particularly when you are trying to grow your business to pre-pandemic level. As reported by Healthcare IT Today, medical experts will be looking at ways to implement and integrate the best practices in electronic delivery systems. Automation helps to give more attention to every patient, both in the exam room and also online.

The doctors’ offices will be using technology more than they ever have before, for example, to communicate with patients via social media platforms. In addition to using technology to improve engagement, doctors will also focus on their patients through the digitization of processes such as booking appointments, processing payment, and managing primary care billing.

2. Making Payments Easier for Patients and Staff Alike

Patients, which you might consider as “customers” from a business-planning standpoint, are typically loyal to their doctors and nurses to a degree. They are also knowledgeable users of electronic information and are used to making payments and banking online. Therefore, one way that you could help patients and increase their loyalty is to offer payment plans.

3. More Telehealth Opportunities to Free up Staff and Make Appointments More Convenient for Each Patient

Making available telehealth options for patients can mean the difference between appointments being canceled, or appointments being held. It could also mean improvements to your revenue stream moving forward.

4. Machine Learning In Concert With Payer Portals

For instance, Access Healthcare noted that automated payment posting as well as the ability to receive automated status helps you handle denials. A portal for payers encourages automatization on the payer’s side as well. With all the data stored and analyzed using cloud computing platforms (Software as a Service or SaaS) Your practice will be able to access the data at a rapid pace anywhere, with a smartphone, tablet or laptop.

The site Verywell Health, you find every component that is integral to the process of primary care billing.

  • “Patient Check-In”
  • “Insurance Eligibility and Verification”
  • “Charge Entry”
  • “Coding: Diagnosis, Procedures and Modifiers”
  • “Claims Submission”
  • “Payment Posting”

Medical billing is only one part of the management procedure that is referred to as Revenue cycle management (RCM). In order to fully manage your healthcare facility revenue cycle management is crucial to the success of your institution. 

Claim Preparation contains all the necessary information to build claims

  • “Coding” and “charge capture” are essential components to effectively processing claims.
  • “Claim Submission” is only as accurate as the information provided on the claims. The claims are processed according to instructions by insurance companies through an intermediary.
  • Claims Management
  • “Remittance processing” can easily be accepted and added to patient accounts and “rejected” for further payment consideration.
  • “Patient collections” can easily and quickly be controlled.
  • “Third-party follow-up” can be integrated with the current RCM.
  • Reports and Analytics
  • “Utilization review” can prove beneficial to discovering practice deficiencies.

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