收益周期管理

LBMC, a top 3 accounting 和 business consulting firm in the Southeast, is pleased to announce the addition of 莱恩杰克逊 as Shareholder to its rapidly growing healthcare advisory practice. 杰克逊加入了LBMC 医疗保健咨询业务 as leader of the firm’s revenue cycle service offering.

杰克逊 brings 30 years of experience serving healthcare provider clients exclusively. 在加入LBMC之前, 他曾担任一家大型专业服务公司的合伙人和医疗保健商业咨询实践主管,000名国内雇员. His wide-ranging experience includes leading complex revenue cycle transformation, 合规, 集成, 整合, restructuring 和 electronic medical record (EMR) implementation engagements, including for a $5 billion healthcare provider. 杰克逊 has extensive experience serving healthcare provider systems, 学术医疗中心, large physician groups 和 other specialty providers.

“我们很高兴车道加入LBMC，领导我们不断增长的医疗收入周期服务,” 马克Burnette, Shareholder, Practice Leader, LBMC 咨询 服务. “鉴于目前的财政问题, regulatory uncertainty 和 recruitment 和 retention challenges, a healthy 和 effective revenue cycle is more critical than ever. 车道带来了收入周期方面的专业知识，以扩大明升体育app下载医疗保健咨询能力，以满足客户在这个不断变化的环境中的需求. 帮助明升体育app下载客户应对挑战, 我们很自豪能够继续发展, 提供咨询和商业智能方面的解决方案，帮助他们保护自己拥有的东西并利用机会.”

他持有西肯塔基大学理学学士学位，是HFMA和AICPA的成员. 他完成了西北大学凯洛格管理学院的企业决策课程. He is a noted thought leader 和 frequent presenter, 会议的作者和主持人, including President Obama’s Commission on Care, Veteran’s 政府 Revenue Cycle Assessment.

How can a healthcare organization improve its revenue cycle management?

To improve revenue cycle management, healthcare organizations should focus on streamlining patient registration, 核实保险资格, enhancing 编码 和 文档 practices, 优化索赔提交, 改进拒绝管理, 利用收益周期分析, implementing clear patient 金融 policies, 加强病人沟通, 拥抱技术解决方案, 定期提供员工培训, fostering collaboration between departments, 和 effectively manage vendors that support the revenue cycle. 实施这些战略需要对收入周期进行全面的管理. 定期评估工作表现, 监控关键指标, 和 adapt 流程 to address specific challenges 和 improve 金融 outcomes.

为什么收入周期如此难以增强和转变以实现最佳实践绩效?

考虑到所有收入周期功能的整体复杂性和联系，改善收入周期可能是困难的. This complexity is due to various factors. 首先, the healthcare industry has a multitude of payers, 包括政府项目, 私人保险公司, 自费患者, each with their own reimbursement rules 和 requirements. 另外, 编码 和 billing practices are highly intricate, requiring accurate 文档 和 adherence to numerous 编码 guidelines. The evolving regulatory l和scape adds further complexity, as providers must navigate changing reimbursement policies 和 合规 st和ards. 此外, 大量的病人数据, 碎片化信息系统, 对互操作性的需求在简化流程和确保无缝数据流方面提出了挑战. 此外, the increasing patient 金融 responsibility, with high deductibles 和 copayments, dem和s effective patient communication 和 robust 金融 policies. 为了克服这些复杂性, healthcare organizations must adopt advanced technologies, 实施高效的工作流程, 和 prioritize continuous staff training 和 合规.

复杂的收入周期操作需要众多值得信赖的专家和主题专家来帮助您做出正确的决策. 明升体育app下载收入周期的深度板凳, 金融, operational 和 clinical personnel allow us to bring the right resources to you.

What RCM Metrics You Should Care About?

The most valuable RCM metrics change based upon provider type 和 other factors. 广泛的, we believe the following to be among the most important to measure, monitor 和 use for course correction. 医疗保健组织应该监控几个关键指标，以评估其收入周期管理的有效性. Here are some important metrics that they should pay attention to:

1. Collections as a Percentage of Net Revenue: 这一指标衡量的是现金收入占净收入的百分比，通常使用净收入滞后期来计算.
2. Denial write-offs as a percentage of net revenue: 该指标使用拒绝导致的实际核销占净收入的百分比，并用于对总体拒绝管理性能进行基准测试.
3. 初始拒绝率: 该指标使用总初始拒绝费用占提交总费用的百分比，并允许评估总体拒绝管理效率.
4. Bad Debt as a Percentage of Net Revenue: 这一指标是通过使用坏账冲销占净收入的百分比来计算的，并用于基准坏账管理绩效.
5. 收取费用: 该指标将总体收入周期成本与收款金额相匹配，并有助于确定收入周期的效率.
6. Aged Accounts Receivable (A/R) as of Percentage of Billed A/R: 这个指标强调了裁定索赔和识别“有风险”的应收账款余额所需的时间.
7. 保险核销率: 这一指标反映了患者访问功能的及时性、准确性和效率. 它是核实的接触总数除以登记的接触总数.
8. Days in Discharge Not Final Billed (“DNFB”) A/R: This metric is the total DNFB divided by average daily revenue. The days in DNFB should be approximately the number of established bill hold days.
9. Late Charges as a Percentage of Total Charges: This metric helps evaluate revenue capture efficiency 和 is calculated as the charges with a post date > established days from date of service over total gross charges.
10. 贷方余额收入: 这个指标有助于评估信用余额管理的有效性，它是总A/R信用余额除以平均每日收入.
11. 病人满意度: While not strictly a 金融 metric, patient satisfaction plays a crucial role in revenue cycle management. 满意的患者更有可能及时支付账单，并参与积极的财务互动, reducing the risk of bad debt or collection challenges.

定期监控这些指标并将其与行业基准进行比较，可以帮助医疗保健组织确定需要改进的领域, 长期跟踪绩效, 和 implement strategies to enhance revenue cycle management.

What should I look for in a health care advisor?

很明显，任何顾问都应该具有深厚的技术专长和经验来帮助您解决问题. 一样重要, you should have an advisor that you enjoy working with 和 helps foster the right culture. 大型改造项目, 甚至那些规模较小的, require working through difficult issues 和 frequently working long hours. 明升体育app下载团队以合作和积极的方式帮助客户而自豪.