BC Advantage - 2013 Issue 2
Leveraging Technology to Enhance Revenue Cycle Performance
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Article Overview
This article discusses how a physician practice evaluated and implemented a web-based clearinghouse solution alongside an EHR system to improve revenue cycle performance. It focuses on broad operational topics such as system integration, eligibility verification, rejection tracking, vendor service considerations, and the impact of technology on collections, denials, and staff efficiency. The content is aimed at practice administrators, business office staff, revenue cycle leaders, and other healthcare operations readers interested in workflow improvement and claims management technology.
Why This Topic Matters
Revenue cycle performance depends heavily on how well systems, staff workflows, and claims processes work together. This article is relevant to readers looking for general guidance on technology-enabled improvements in collections, denial management, and administrative efficiency.
Article Sections
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The Benefits of a New System
Discusses the move to a new clearinghouse platform and the general advantages of integrating it with existing practice systems. It also covers broad operational improvements such as workflow efficiency, eligibility verification, and visibility into claim performance.
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It’s Not Only About the Technology
Addresses vendor selection factors beyond software features, including client service and support responsiveness. It focuses on the broader decision-making considerations involved in choosing a revenue cycle technology partner.
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Making the Move
Reviews the general experience of transitioning to the new system and the impact of implementation on operations. It also references the timing of a major industry conversion and the importance of support during change management.
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Bottom-line Impact
Summarizes overall operational outcomes after the technology change, including broad trends in denials, accounts receivable, collections, and staff redeployment. It frames the article’s main theme of using technology to strengthen practice performance.
What You Will Learn
- How integrated practice technology can support revenue cycle workflow
- What operational factors practices may consider when evaluating a clearinghouse vendor
- How eligibility verification and rejection visibility can affect front-end and back-end processes
- How technology transitions can influence collections, denials, and staff productivity
- What kinds of performance areas practices often monitor after system changes
Who Should Read This
- Physician practice administrators
- Revenue cycle managers
- Medical billing staff
- Business office staff
- Healthcare operations leaders
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