收入循环管理:艺术与科学
Rajiv Chandawarkar1, Prakash Nadkarni2, Elizabeth Barmash1
1From the Department of Plastic Surgery, The Ohio University Wexner Medical Center, Columbus, Ohio.
Plastic and reconstructive surgery. Global open
|July 3, 2024
概括
有效的收入周期管理 (RCM) 对于利的临床实践至关重要. 优化RCM流程可以改善患者体验,减少付款延迟,增加实践现金流.
科学领域:
- 医疗保健管理部门的管理.
- 临床实践管理的管理.
- 卫生经济学 卫生经济学
背景情况:
- 医生往往缺乏RCM培训,导致支付流程的斗争.
- 诸如保险支付人和监管变化的复杂性使RCM复杂化.
- 许多实践机构接受较低的报销作为业务成本,影响利能力.
研究的目的:
- 提出一种系统的方法来理解和改进RCM过程.
- 促进临床和行政团队之间更强大的伙伴关系.
- 通过优化RCM,提高临床实践的财务稳定性.
主要方法:
- 系统审查在医疗保健和相关部门发表的作品.
- 开发一种结构化的方法来进行RCM过程分析.
- 强调临床医生和行政人员之间的合作.
主要成果:
- 优化的RCM改善了患者体验,并减少了索赔提交到付款时间.
- RCM优化有助于消除编码和患者层面的欺诈行为.
- 增强的RCM显著增加了实践现金流和金融稳定性.
结论:
- 有效的RCM与临床服务一样,对于实践利性至关重要.
- 对RCM的系统方法可以克服医生面临的常见挑战.
- 优化RCM带来了经济稳定的临床实践和改善的患者护理.
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