{"id":10325,"date":"2020-12-03T06:15:23","date_gmt":"2020-12-03T06:15:23","guid":{"rendered":"https:\/\/ipatientcare.com\/blog\/?p=10325"},"modified":"2022-04-22T13:23:29","modified_gmt":"2022-04-22T13:23:29","slug":"four-rcm-myths-impacting-rural-healthcare-providers","status":"publish","type":"post","link":"https:\/\/ipatientcare.com\/blog\/four-rcm-myths-impacting-rural-healthcare-providers\/","title":{"rendered":"Four Revenue Cycle Management Myths Impacting Rural Healthcare Providers"},"content":{"rendered":"<p>Clinics in rural communities struggle with declining reimbursements. Ensuring financial sustainability and profitability by improving billing processes and managing denials are top priority. Outsourcing Revenue Cycle Management (RCM) can help rural clinics capture every dollar and seek higher reimbursement.<\/p>\n<p>Knowing the financial challenges within\u00a0rural healthcare setting, here are four\u00a0RCM myths we commonly see impacting revenue.<\/p>\n<p><strong>Myth 1: Patients don\u2019t contribute much to the payer mix<\/strong><\/p>\n<p>With the increasing financial responsibility of\u00a0healthcare costs, patients are now the third-largest payer in the country. A large portion of the rural population is more likely to be uninsured (particularly in states that did not expand Medicaid). Therefore, rural clinics and healthcare facilities need to provide\u00a0accurate clinical estimations and upfront fee collections\u00a0before delivering care. Since patients are becoming more aware of their healthcare costs, price transparency is becoming increasingly important. Providing upfront clinical estimations at the point of service or procedure can help improve healthcare bills and reduce bad debt and write-offs.<\/p>\n<p><strong>Myth 2: Patient engagement has nothing to do with revenue<\/strong><\/p>\n<p><strong><a title=\"Patient engagement\" href=\"https:\/\/ipatientcare.com\/productsservices\/electronic-health-record\/\" target=\"_blank\" rel=\"noopener noreferrer\">Patient engagement<\/a><\/strong>\u00a0involves\u00a0more than simply talking to patients or sending them emails and messages. Patient engagement encompasses everything from patient management to revenue management. Using clinical facilities can reduce missed appointments\u00a0with appointment reminders, deploy CCM programs for\u00a0reimbursement\u00a0by CMS, receive payments electronically using patient portals. Patient engagement helps providers administer\u00a0better care delivery, which drives the revenue.<\/p>\n<p><strong>Myth 3: Telehealth doesn\u2019t pay off\u00a0<\/strong><\/p>\n<p>Medicare and Medicaid have made it easy for clinicians to find lists of covered telehealth services by CPT code and reimbursement guidelines on their web portals. The reimbursement for telehealth is the same as\u00a0that of\u00a0a face-to-face visit, although some commercial payers may differ. Most importantly clinicians need to have eligibility and proper credentialing with payers and be licensed\u00a0in\u00a0the state(s)\u00a0they expect to treat patients. Providing <strong><a title=\"telehealth\" href=\"https:\/\/ipatientcare.com\/blog\/telehealth-technology-in-2020\/\" target=\"_blank\" rel=\"noopener noreferrer\">telehealth<\/a><\/strong>\u00a0not only drives new revenue streams to the rural clinic,\u00a0but also provides a more convenient care delivery method for patients who need it most.<\/p>\n<p><strong>Myth 4: Outsourcing in RCM technology is a dead investment<\/strong><\/p>\n<p>This is\u00a0not\u00a0the case. Rural clinics and hospitals can get full reimbursements of their revenue by outsourcing their complete RCM process. With today\u2019s technology, it is much easier for hospital\u00a0back offices to keep track of key performance indicators such as accounts receivable, claims filed, and EDI rejection rates. By integrating finances with patient portals that offer electronic payment options, sending electronic statements and automated reminders to patients, and enabling patients to pre-pay for the services,\u00a0back offices can ensure everything that their RCM partner needs. All of this resultss in stronger reimbursement and strengthening\u00a0of\u00a0cash flow that makes ROI on the technology and services investment measurable.<\/p>\n<p>Rural hospital facilities have led and will continue to lead their communities with resilience, innovation, and collaborative partnerships. We believe that experienced healthcare leaders understand their requirements for success. We embrace the truth of today\u2019s rural, patient, and RCM landscapes.<\/p>\n<p><a href=\"https:\/\/ipatientcare.com\/schedule-a-live-web-demo\/\" target=\"_blank\" rel=\"noopener noreferrer\"><img fetchpriority=\"high\" decoding=\"async\" class=\"aligncenter wp-image-10139 size-full\" src=\"https:\/\/ipatientcare.com\/blog\/wp-content\/uploads\/2020\/04\/How-iPatientCare-is-arming-its-providers-to-combat-COVID-19-1.jpg\" alt=\"Four Revenue Cycle Management Myths Impacting Rural Healthcare Providers\" width=\"744\" height=\"70\" srcset=\"https:\/\/ipatientcare.com\/blog\/wp-content\/uploads\/2020\/04\/How-iPatientCare-is-arming-its-providers-to-combat-COVID-19-1.jpg 744w, https:\/\/ipatientcare.com\/blog\/wp-content\/uploads\/2020\/04\/How-iPatientCare-is-arming-its-providers-to-combat-COVID-19-1-300x28.jpg 300w\" sizes=\"(max-width: 744px) 100vw, 744px\" \/><\/a><\/p>\n<p>iPatientCare, is a leading provider in transforming RCM services with FREE Cloud-based Meaningful Use Stage-3 certified EHR and PMS technology. It provides efficient, responsive, and accountable billing implementation and back-office services that give more than 98% first-pass claims submission and efficient AR follow-up, denial management at very competitive rates. To learn more visit <strong><a title=\"iPatientCare\u2019s Healthcare Revenue Cycle Management\" href=\"https:\/\/ipatientcare.com\/productsservices\/revenue-cycle-management\/\" target=\"_blank\" rel=\"noopener noreferrer\">iPatientCare\u2019s Healthcare Revenue Cycle Management<\/a><\/strong>.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Clinics in rural communities struggle with declining reimbursements. Ensuring financial sustainability and profitability by improving billing processes and managing denials are top priority. Outsourcing Revenue Cycle Management (RCM) can help rural clinics capture every dollar and seek higher reimbursement. Knowing the financial challenges within\u00a0rural healthcare setting, here are four\u00a0RCM myths we commonly see impacting revenue. [&hellip;]<\/p>\n","protected":false},"author":1,"featured_media":10326,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_seopress_robots_primary_cat":"","_seopress_titles_title":"","_seopress_titles_desc":"","_seopress_robots_index":"","content-type":"","footnotes":""},"categories":[1],"tags":[564,215,904,164,218,828,242],"class_list":["post-10325","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-rcm","tag-healthcare-it-solutions","tag-healthcare-revenue-cycle-management","tag-healthcare-revenue-cycle-management-services","tag-revenue-cycle-management","tag-revenue-cycle-management-services","tag-telehealth-solutions","tag-telemedicine"],"_links":{"self":[{"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/posts\/10325","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/comments?post=10325"}],"version-history":[{"count":3,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/posts\/10325\/revisions"}],"predecessor-version":[{"id":10868,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/posts\/10325\/revisions\/10868"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/media\/10326"}],"wp:attachment":[{"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/media?parent=10325"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/categories?post=10325"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/ipatientcare.com\/blog\/wp-json\/wp\/v2\/tags?post=10325"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}