22 Sep 2022

113

Revenue Cycle Management (RCM): What You Need to Know

Format: APA

Academic level: College

Paper type: Essay (Any Type)

Words: 321

Pages: 1

Downloads: 0

Key steps in the revenue cycle management process include installing an RCM software, preauthorizing each patient, and eligibility identification. The reason for installing the RCM Software stems from the fact that this is the tool that will be used to perform medical billing. Preauthorization of each patient implies that insurance company approves any medical services rendered by a physician. What this means is that the insurer will not refuse to pay, claiming that it did not approve the doctor to administer the medical services. Eligibility identification refers to the process of determining whether the patient meets the requirements for receiving medical services (Mindel, 2015) . Examples of such requirements include regular payment of premiums. 

The existing relationship between the aforementioned steps to the billing and coding process is the convergence of the aim. All the steps are aimed at ensuring easy workflow in the patient care delivery process. The role of pre-registration is to enable the healthcare facility to obtain patient information, and that of the front desk is to receive patients and direct them accordingly. The role of clinical coding is to ensure better and safer storage of data (Gunawardena, 2016) . The significance of ensuring high safety of patient information is that it helps prevent unauthorized access to patient data; hence, warning cases of identity theft. 

It’s time to jumpstart your paper!

Delegate your assignment to our experts and they will do the rest.

Get custom essay

Some of the impacts of the above steps include greater patient care and reduced risks stemming from careless handling of patient’s data. The significance of greater patient care to any health facility it it helps improve the overall image of the company. Patients avoid health facilities with negative images. The trend emanates from the fear that negatively portrayed hospitals will not be able to provide high quality and efficacious treatment. Converting written medical information into codes helps reduce hacking activities in the sense that it demoralizes cybercriminals from this illegal activity (Mindel, 2015) . It makes them, for instance, know that they will not be able to understand or interpret the stored information if they steal it. 

References 

Gunawardena, M., Gunawardena, D., Fernando, P. N. L., & Thayalaseelan, A. T. (2016). U.S. Patent Application No. 14/909,315

Mindel, V., & Mathiassen, L. (2015, January). Contextualist inquiry into hospital revenue cycle transformation: Bridging research and practice. In 2015 48th Hawaii International Conference on System Sciences (pp. 2960-2969). IEEE. 

Illustration
Cite this page

Select style:

Reference

StudyBounty. (2023, September 14). Revenue Cycle Management (RCM): What You Need to Know.
https://studybounty.com/revenue-cycle-management-rcm-what-you-need-to-know-essay

illustration

Related essays

We post free essay examples for college on a regular basis. Stay in the know!

Vaccine Choice Canada Interest Group

Vaccine Choice Canada Interest Group Brief description of the group Vaccine Choice Canada, VCC, denotes Canada's leading anti-vaccination group. Initially, the anti-vaccination group was regarded as Vaccination...

Words: 588

Pages: 2

Views: 146

Regulation for Nursing Practice Staff Development Meeting

Describe the differences between a board of nursing and a professional nurse association. A board of nursing (BON) refers to a professional organization tasked with the responsibility of representing nurses in...

Words: 809

Pages: 3

Views: 191

Moral and Ethical Decision Making

Moral and Ethical Decision Making Healthcare is one of the institutions where technology had taken lead. With the emerging different kinds of diseases, technology had been put on the frontline to curb some of the...

Words: 576

Pages: 2

Views: 89

COVID-19 and Ethical Dilemmas on Nurses

Nurses are key players in the health care sector of a nation. They provide care and information to patients and occupy leadership positions in the health systems, hospitals, and other related organizations. However,...

Words: 1274

Pages: 5

Views: 78

Health Insurance and Reimbursement

There are as many as 5000 hospitals in the United States equipped to meet the health needs of a diversified population whenever they arise. The majority of the facilities offer medical and surgical care for...

Words: 1239

Pages: 4

Views: 439

Preventing Postoperative Wound Infections

Tesla Inc. is an American based multinational company dealing with clean energy and electric vehicles to transition the world into exploiting sustainable energy. The dream of developing an electric car was...

Words: 522

Pages: 5

Views: 357

illustration

Running out of time?

Entrust your assignment to proficient writers and receive TOP-quality paper before the deadline is over.

Illustration