How to Optimize your Healthcare Revenue Cycle Performance – Credihealth Blog


There is still a long way to go for healthcare providers to handle workflow efficiency, budgets, and the COVID-19 pandemic’s persistent financial instability. However, the burden of patient payment is still considerable. Digital solutions can assist expedite processes, promote patient involvement, and eventually improve cash flow in the healthcare industry.

Reporting Is a Critical Component of Revenue Cycle Management

Use advanced analytics to improve the efficiency of your revenue cycle. It’s well-known that if you don’t measure, you can’t manage.  Your patients’ payment methods might help you identify areas for improvement in your collection efforts. Healthcare revenue cycle management companies provide a system that presents performance data and trends across sites to guide resource allocation and other crucial business choices.

Pre-Registration Might Help You Get Your Claims Approved Faster

Claim rejections may be a significant concern for healthcare providers trying to improve their revenue cycle performance. Denials may be minimized by having patients pre-register online or through a mobile device. Before a medical treatment or visit, pre-registration is an important stage in which vital information is collected from the patient. It is easier to guarantee that the data is correct and checked before a visit even starts if this information is obtained in advance.

This step reduces the administrative burden of patient check-in and can boost revenue. As a result of obtaining payment information upfront and utilizing online means, the collection process may be streamlined, eliminating the need for paper and making the patient experience more pleasant. Confidence in the amount of money owed to the health care provider is reduced when individuals are provided with clear information about their eligibility. 

It also lessens the likelihood that patients may be caught off guard by a cost they were not expecting. Faster collection of unpaid amounts is made possible by using eStatements to communicate this information and allowing patients to pay electronically.

In-Patient Benefits Verification and Eligibility Checks

As part of the billing process, verifying a patient’s insurance benefits and eligibility is essential. Even though this procedure is time-consuming, it may assist assess patients’ financial responsibility and guarantee that providers are paid. 

Technology that allows benefits and eligibility validation before and during clinical visits may speed up the verification process before claim submission. An efficient revenue cycle management system should be one that can connect to all of your authorized payers and provide information on components such as the effective dates of coverage and the treatments covered, as well as co-pays and deductibles.

Automated Payment Posting Simplifies the Payment Process

In 30 days, 49% of health providers cannot recover $400 or more sums. Expenditure cycles are lengthened as a result of the payment delays. Paper billing and other manual procedures waste time and money when they are not automated. With real-time payment posting, improved patient satisfaction and lower collection expenses can be achieved.

It can also minimize bad debt risk and effect. Use the payment method provided to the account upon pre-registration for automated collection of patient amounts. Automated payment plans may help people better manage high bills and provide more flexibility.

Disclaimer: The statements, opinions, and data contained in these publications are solely those of the individual authors and contributors and not of Credihealth and the editor(s). 

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