There Are Solutions to Some Revenue Cycle Challenges

By Thomas White | August 19, 2015

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Recently, our friends over at Sagacious Consultants identified six root causes to revenue cycle pains. One of the causes they wrote about is the challenge that ALL EMRs and financial systems lack a clearly defined strategy for managing provider-specific information, such as demographics, clinical specialty and insurance filing and billing information pre and post go-live.

This lack of a defined strategy for managing provider information can come back to haunt healthcare organizations’ revenue cycles in the form of missing claim information and insurance denials. If your billing staff cannot include specific, valid provider data, the claim will be denied. 

Having the right provider information at your fingertips -- when you need it -- is essential to improve both your operational and financial performance, as well as your patient care delivery. 

With a unified provider management (UPM) platform, healthcare organizations have the ability to manage their provider profiles (referring and credentialed physicians, nurses, and mid-levels) across all of their core IT financial, operational and clinical systems. A UPM allows healthcare facilities to unify, manage and share a single, verified, custom profile on each of their providers, regardless of where that data exists in their multiple, legacy IT systems. 

This single, accurate, source for provider information optimizes revenue cycles.

Topics: referring provider, Sagacious Consultants, emrs, provider data, verified, clinical specialty, Revenue Cycle Pains, healthcare facilities, credentialing, provider information, single provider profile, insurance filing, billing information, credentialed provider, Root Causes, Revenue Cycle Challenges, ehrs, emr, electronic health records

Thomas White

Written by Thomas White

Before founding Phynd, Tom co-founded Newscast Inc. and Vocada, Inc. With over 20 years of leadership experience, Tom has applied his knowledge in building software companies and creating new software categories from idea to large market share. He also serves as a mentor to the start-up accelerator Health Wildcatters.

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