What Are the Main Components to the RCM Cycle in Medical Billing

Proper cash flow in the healthcare field is just as important as the level of care you are able to provide your patients. In fact, these two factors affect each other greatly. When it comes to your RCM cycle in medical billing, it is important to understand the various components and how they work together.

Claim Submissions

One of the most critical parts of your revenue cycle is the claim submissions. Without proper medical coding, this process becomes more difficult and increases the number of denials you will receive from the insurance company. Outsourcing this aspect of your RCM cycle in medical billing can reduce the number of errors and ensure claims are submitted more quickly and payments can be made in a timely manner.

Payment Processing

When payments come directly into your medical office, it creates extra paperwork for your staff and may even involve trips to the bank for deposits. When you work with a company to handle your billing process, they are often able to take on the payment processing tasks as well so your staff can focus more on the patients.

Account Receivable Follow Ups

We would all like to think insurance companies and patients will pay the bills they receive quickly and in full, but this does not always happen. When it does not, you need someone who will make phone calls, send emails and more to follow up and attempt to collect these payments. Outsourcing can be a great way to take care of this process without bogging down your staff.

Patient Responsibility Balances

One of the most difficult parts of your RCM cycle in medical billing is collecting money from patients. Many of them expect their insurance plans to pay for all of it, while others simply do not have the money for surprise medical bills. Instead of turning this task over to your staff, an outsourcing company can help you with this time-consuming task and increase the amount of money that comes in.

If you need help managing your RCM cycle in medical billing, visit the GeBBS Healthcare Solutions website to learn more.

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