Revenue Cycle Management FAQ
Common questions about end-to-end revenue cycle management, key performance indicators, and practice cash flow optimization.
What is Revenue Cycle Management (RCM)?
RCM is the financial process that healthcare facilities use to track patient care episodes from initial registration and appointment scheduling to final payment collection. It includes eligibility checks, coding, claim submission, posting, and collections.
What are the most important RCM KPIs to track?
Key KPIs include clean claim rate (target: 98%+), days in accounts receivable (target: under 30 days), net collection rate (target: 95%+), and denial rate (target: under 5%). VOPSS provides real-time dashboards to track these metrics.
How does outsourcing RCM improve practice cash flow?
Outsourcing ensures that claims are scrubbed, submitted, and posted quickly, reducing A/R days. Dedicated denial management teams resolve unpaid claims immediately, preventing revenue leakage and maximizing net collections.
What technology does VOPSS use for RCM?
We integrate with all major EHR and PM systems (including eClinicalWorks, Athenahealth, NextGen, and AdvancedMD) using automated data transfers, rules-based claim scrubbers, and secure payment portals.
Still have questions?
Our medical billing and coding professionals are here to help. Contact us to speak with a billing expert today.