Revenue Cycle Management In 1951: It Used to be a Lot Easier…Or Was It?

Revenue Cycle Management In 1951

The above image is an actual hospital bill and accompanying explanation of charges used in 1951. Just think of the things that we didn’t have to manage back then. A short list might include coding, claim edits, massive denials, contract payment compliance, Medicare/Medicaid (both started in 1965), managed care contracts, HIPPA regulations, “patient-friendly” billing initiatives, use of technology, and outsource considerations.

We now embrace in stride all of the complexities that have evolved since this bill was produced. In fact, increasing complexity is the “new normal” in our business. The explanation of charges that accompanied this bill was actually pretty transparent for the time and was largely designed to help patients understand the difference between hospital and hotel costs. It was easy to understand the bill and the explanation. However, the expressed complexities that have emerged today make itemized bills almost unintelligible and our explanations often lead to more skepticism than acceptance. It’s not easy anymore!

In our company and in your hospital, we are attuned to customer service management and its importance in the revenue cycle continuum. Among revenue cycle and financial professionals, part of our jobs back in 1951 and presently today has always included the mantra “cash is king.” But today, more than ever, patients are decision makers. I can remember a time early in my career when my boss imparted to me that our “internal client” or “customer” was the physician because it was the physician who drove patients and therefore revenue to our facility. Now we have several customers, which is yet another added complexity.

However, in the shadow of all the differences one can enumerate between 1951 and today, there is one glaring similarity. RCM success is still about blocking and tackling. It still means the presence of a compassionate patient access process that results in a positive patient experience, while simultaneously recording data that enables us to populate a clean claim and collect revenue. It still means timely, accurate revenue capture and billing. It still means effective follow-up on billed AR and prompt recognition of collectability. Like you, our consultants, interim leaders, and staff augmentation specialists at Nearterm realize the importance of keeping our eyes on the prize – CASH IS STILL KING.

Oh well, maybe things haven’t changed after all! 😊

Jim Matthews
Principal, Nearterm Corporation

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Posted By: nearterm-admin

Cerner Implementation Manager

Cerner Implementation Manager

 JOB ID: EB-2077155912
Location:  United States

Are you a hard-working, energetic Cerner project leader who is well versed in all things revenue cycle? Do you have experience overseeing multiple concurrent projects in a fast paced health system environment? Then our client would love an opportunity to talk with you about their Interim Cerner Implementation Manager opening. The scope of work includes planning, budgeting, overseeing and documenting all aspects of a multi-facility Cerner implementation. The successful leader will provide expert guidance for the analysis, design and implementation of the healthcare information technology and effectively manage the day to day operational and tactical activities of the conversion. If you have an interest and would like to learn more, please call us and we will “fill in the blanks”.

Requirements:

 Bachelor’s degree in business, healthcare administration or similar field required

  • 10+ years’ experience managing healthcare IT projects required
  • Proficiency with hospital access, coding, billing, collections, and payment regulations required
  • Cerner Community Works experience a plus
  • Professional certification through HFMA, NAHAM, AAHAM or related professional organization preferred

APPLY NOW  If you are a highly motivated, proven project manager with the experience, skills and knowledge to make a difference for our client……………………

Please send your resume in Word or PDF format to: info@nearterm.com.  Copy and Paste the following job title and EB code and place it in the subject line of your email so we can identify the job: Interim Cerner Implementation Manager (EB-2077155912)

If you have any questions or would like additional information please call 888-646-1330

 

 

 

 

 

Posted By: nearterm-admin

Central Business Office Director

CENTRAL BUSINESS OFFICE DIRECTOR

JOB ID: EB-3199855085
Location:  UNITED STATES

Are you a detail oriented revenue cycle professional who is prepared to lead a multi-hospital centralized processing operation? Then you may be just the person our client is looking for to fill their Interim Central Business Office Director position! This position requires strong management experience with extensive knowledge of both hospital and physician clinic revenue cycle services. The scope of work includes billing, follow-up and other conventionally defined revenue cycle processes. Our client expects excellent oral and written communications skills, with the ability to articulate ideas to both business office and non-business office audiences. Experience in public speaking and facilitation is desired. Extensive computer knowledge and experience especially in Microsoft programs for general business productivity is required. Strong organization skills with the ability to routinely handle multiple clients and projects will also be important.

Additional Information:

  • 5+ years’ experience in healthcare billing and management
  • A Bachelor’s degree in finance, business management or related field, and/or an equal amount of relevant experience preferred.
  • Excellent Communication skills
  • Proficiency with various technologies and systems used in field

APPLY NOW to be a part of this amazing team!

Please send your resume in Word or PDF format to: info@nearterm.com.  Copy and Paste the following job title and EB code and place it in the subject line of your email so we can identify the job: Interim CBO Director (EB-3199855085)

170809

 

 

Posted By: nearterm-admin

Revenue Cycle Manager

REVENUE CYCLE MANAGER

JOB ID: EB-1427109908
Location: MISSOURI

Are you well versed in all things Revenue Cycle? An expert in healthcare billing and collections with excellent managerial and interpersonal skills? If so, our client would love an opportunity to talk with you about their Revenue Cycle Manager opening.  The successful candidate will have experience in the direction and coordination of all revenue cycle operations. Focus areas include billing, claim adjudication, denial management, performance measurement and other areas conventionally defined as revenue cycle functions. Expect emphasis on training, education and process innovation. The ability to maintain a cooperative and energetic work environment is crucial.  Excellent communication skills are key.

Requirements:

  • Bachelor’s degree in Accounting, Finance or related field from an accredited college or university
  • Professional certification through HFMA, NAHAM, AAHAM or related professional organization preferred
  • Meditech experience preferred
  • 5+ years of professional work experience and knowledge of the hospital and clinics revenue cycle, patient access, billing, collections, and accounts receivable management
  • 2+ years of management experience within the healthcare industry required
  • Proficient knowledge of billing, collections, and payment regulations within the healthcare industry required

APPLY NOW

Please send your resume in Word or PDF format to: info@nearterm.com

Copy and Paste the following job title and EB code and place it in the subject line of your email so we can identify the job: Revenue Cycle Manager (EB-1427109908)

If you have any questions or would like additional information please call 888-646-1330

170809

 

Posted By: nearterm-admin