How To Choose Revenue Cycle Management Vendors

Contract Management

Contract management is the most important factor in picking a revenue cycle management vendor. There are two ways to manage contracts: Traditional EMR or Cloud-based RCM.

Traditional EMR or electronic medical records are defined as the health information system that records health-related information for individuals electronically. It is created, managed, gathered, and consulted by authorized health workers and staff.

The system is great for creating and tracking patient records, but they are not made to accommodate finances and A/R. The software is installed on the premises meaning your IT staff must update the system regularly.

Cloud-based RCM refers to the software system that hosts data remotely. Remote hosting allows data access from anywhere with an internet connection. Cloud-based software is hosted by a secure outside server. Its enhancements and updates can be implemented to all clients simultaneously. This type of management is designed to require minimal IT support. A cloud-based system can manage the front, middle, and back of revenue cycle management.

Managing (A/R) Accounts Receivables

The end-all-be-all goal of revenue cycle management is managing your A/R.

Accurate payer contractual reimbursement is the usual starting point of the negotiations. The accurate allowable ensures all payers pay the correct and complete amount.

Ask your vendor these important questions for A/R.

How will you help my practice manage payer performance?
How will you help my staff understand patient liability?
How can you negotiate more favorable rates in the future?

Return of Investment

Every practice needs money to operate. The whole point of outsourcing your billing is to get more money easier. One of the things you need is the proper software. The RCM software can become a significant investment, which is why you need to check whether your chosen vendor can provide you with a positive ROI. You need to measure the additional cash your collections deliver, thanks to the software.

Remember, the whole point of getting a revenue cycle management company’s help is to increase your revenue. Don’t be afraid to talk to them if there are ever any hiccups in the process. Of course, they are only one side of the equation, and you must be able to get patients through your door.

Customer Service

One of the pivotal factors in choosing a revenue cycle management vendor is customer service. They must have amazing customer service and a strong IT team to handle system problems. Learn how long it takes them to fix an issue because this affects your revenue. You should also check what kind of support your vendor can offer.

Most vendors use a ticketing system to handle issues to ensure your concerns are logged and prioritized properly. Make sure the ticketing system gives you quick and personalized replies. Check online to find out other people’s experience with the vendor to ensure everything is on the up and up.

In conclusion, you need to look at contract management, A/R management, return of investment, and customer service to find the best revenue cycle management vendor. Synapse Medical Billing has 20 years of experience and can handle all your billing needs to help your practice make money. They are experts in financial management and customer service to keep patients and payers happy.