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Tips to improve your RCM
(Revenue Cycle Management)
www.mgsionline.com
Introduction
• Revenue cycle management is most important
process in the healthcare industry.
• Decline in reimbursement rates impact the
financial well being of the hospital or practice.
www.mgsionline.com
SYNERGIZE FRONT AND BACK-END
OPERATIONS
• Healthcare revenue cycle management divided into
front end and back end operations.
Front end operation includes following processes
• Registering new patients
• Collecting information
• Confirming eligibility
Back-end operation includes
• Managing claims and denials
• Medical billing and collections.
www.mgsionline.com
Key Performance Indicator for Revenue
Cycle Management
• Days in accounts receivable
• Claim denial rate
• Collection percentage (cash collection/total
service revenue)
• Denial write-off percentage
By tracking the KPI, revenue gets improved.
www.mgsionline.com
Supporting Technology to Optimize
Workflow
• By implementing Supporting Technology to
Optimize Workflow, Health Systems can
streamline revenue cycle functions. Such as
▫ Clean claim rate
▫ Denials rate
These are maximize the reimbursement.
www.mgsionline.com
About MGSI
• MGSI is a leading revenue cycle management
company in Florida US. We provide following
services such as
• Cardiology medical billing
• Radiology medical billing
• Anesthesia medical billing
• Denial management
• AR follow up etc.
www.mgsionline.com
www.mgsionline.com
www.mgsionline.com

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Tips to improve your RCM (Revenue Cycle Management)

  • 1. Tips to improve your RCM (Revenue Cycle Management) www.mgsionline.com
  • 2. Introduction • Revenue cycle management is most important process in the healthcare industry. • Decline in reimbursement rates impact the financial well being of the hospital or practice. www.mgsionline.com
  • 3. SYNERGIZE FRONT AND BACK-END OPERATIONS • Healthcare revenue cycle management divided into front end and back end operations. Front end operation includes following processes • Registering new patients • Collecting information • Confirming eligibility Back-end operation includes • Managing claims and denials • Medical billing and collections. www.mgsionline.com
  • 4. Key Performance Indicator for Revenue Cycle Management • Days in accounts receivable • Claim denial rate • Collection percentage (cash collection/total service revenue) • Denial write-off percentage By tracking the KPI, revenue gets improved. www.mgsionline.com
  • 5. Supporting Technology to Optimize Workflow • By implementing Supporting Technology to Optimize Workflow, Health Systems can streamline revenue cycle functions. Such as ▫ Clean claim rate ▫ Denials rate These are maximize the reimbursement. www.mgsionline.com
  • 6. About MGSI • MGSI is a leading revenue cycle management company in Florida US. We provide following services such as • Cardiology medical billing • Radiology medical billing • Anesthesia medical billing • Denial management • AR follow up etc. www.mgsionline.com