Providers may need to upgrade RCM systems to succeed in value-based world: 5 things to know

Healthcare organizations should consider reanalyzing their revenue cycle management if they don’t want to lose revenue in a value-based healthcare environment, according to HealthData Management.

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Here are five things to know:

1. Many organizations have not restructured their RCM systems to manage cost, care and outcomes across the whole period of care, which is required in today’s value-based landscape.

2. To adjust, organizations should partake in a collaborative service delivery model. That is, they should implement technology that offers visibility into a patient’s entire episode of care, including when they leave the treatment center.

3. Under the bundled payment model, providers must assess whether they can successfully perform a case based on the bundled price.

4. Every healthcare organization will require an EHR system going forward, to serve as the baseline data pool.

5. RCM analytics technology will also prove crucial, offering providers information about cash-on-hand, dates outstanding, cost accounting, supplies and resource usage.

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