收益周期管理

LBMC, 东南地区排名前三的会计和商业咨询公司, 很高兴地宣布加入 莱恩杰克逊 作为其快速增长的医疗保健咨询业务的股东. 杰克逊加入了LBMC 医疗保健咨询业务 作为公司收入周期服务的领导者.

杰克逊拥有30年专门服务医疗保健提供商客户的经验. 在加入LBMC之前, he served as partner 和 healthcare commercial advisory practice lead for a large professional services firm with over 7,000名国内雇员. 他的广泛经验包括领导复杂的收入周期转型, 合规, 集成, 整合, 重组和电子病历(EMR)实施业务, 包括一家价值50亿美元的医疗保健提供商. 杰克逊拥有丰富的服务医疗保健提供者系统的经验, 学术医疗中心, 大型医师团体和其他专业提供者.

“We are thrilled to have 车道 join LBMC to lead our growing healthcare revenue cycle service offering,” 马克Burnette，股东，业务负责人，LBMC咨询服务. “鉴于目前的财政问题, 监管的不确定性以及招聘和留住人才的挑战, 一个健康有效的收入周期比以往任何时候都更加重要. 车道 brings revenue cycle expertise to broaden our healthcare advisory capabilities to meet clients’ needs in this ever-changing environment. 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, providing solutions in consulting 和 business intelligence that help them protect what they have 和 take advantage of opportunities.”

杰克逊 holds his Bachelor of Science from Western Kentucky University 和 is a member of HFMA 和 AICPA. He completed the Enterprise Decision Making Program at Kellogg School of Management at Northwestern University. 他是一位著名的思想领袖和频繁的演讲, 会议的作者和主持人, 包括奥巴马总统的医疗委员会, 退伍军人管理局收入周期评估.

医疗保健组织如何改进其收入周期管理?

改善收益周期管理, 医疗保健组织应将重点放在简化患者注册上, 核实保险资格, 增强编码和文档实践, 优化索赔提交, 改进拒绝管理, 利用收益周期分析, 实施明确的病人财政政策, 加强病人沟通, 拥抱技术解决方案, 定期提供员工培训, 促进部门间的合作, 并有效地管理支持收入周期的供应商. Implementing these strategies requires a comprehensive approach to revenue cycle management. 定期评估工作表现, 监控关键指标, 调整流程以应对具体挑战并改善财务结果.

Why is the revenue cycle so difficult to enhance 和 transform to achieve best practice performance?

Improving the revenue cycle can be difficult given the overall complexity 和 linkage of all revenue cycle functions. 这种复杂性是由各种因素造成的. 首先, 医疗保健行业有众多的支付者, 包括政府项目, 私人保险公司, 自费患者, 每个都有自己的报销规则和要求. 另外, 编码和计费实践非常复杂, 需要准确的文档和遵守大量的编码准则. 不断变化的监管格局进一步增加了复杂性, 因为供应商必须驾驭不断变化的报销政策和遵从标准. 此外, 大量的病人数据, 碎片化信息系统, 和 the need for interoperability pose challenges in streamlining 流程 和 ensuring seamless data flow. 此外, 患者经济责任的增加, 高免赔额和共付额, 需要有效的患者沟通和健全的财务政策. 为了克服这些复杂性, 医疗保健组织必须采用先进技术, 实施高效的工作流程, 并优先考虑持续的员工培训和合规.

Complex revenue cycle operations require a multitude of specialists 和 subject matter experts that can be trusted to help you make the right decisions. 明升体育app下载收入周期的深度板凳, 金融, 操作和临床人员使我们能够为您提供合适的资源.

你应该关注哪些RCM指标?

最有价值的RCM度量根据提供者类型和其他因素而变化. 广泛的, 我们认为以下几点是最需要衡量的, 监测并用于航向修正. 医疗保健 organizations should monitor several key metrics to assess the effectiveness of their revenue cycle management. 以下是他们应该注意的一些重要指标:

1. 收款占净收入的百分比: This metric measures the cash collected as a percentage of net revenue 和 is typically calculated using a net revenue lag period.
2. 拒绝核销占净收入的百分比: This metric uses actual write-offs necessitated by denials as a percent of net revenue 和 is used to benchmark overall 否认管理 performance.
3. 初始拒绝率: This metric uses the total initial denied charges as of percentage of total charges submitted 和 allows for assessment of overall 否认管理 efficiency.
4. 坏账占净收入的百分比: This metric is calculated by using bad debt write-offs as a percentage of net revenue 和 is used to benchmark bad debt management performance.
5. 收取费用: This metric matches overall revenue cycle cost with collection amounts 和 helps determine how efficient the revenue cycle is.
6. 应收帐款(A/R)占应收帐款的百分比: This metric highlights how long it takes to adjudicate claims 和 identifies “at risk” A/R balances.
7. 保险核销率: This metric reflects to what level patient access functions are timely, accurate 和 efficient. It is the total number of verified encounters over the total number of registered encounters.
8. 未最终计费的出院天数(“DNFB”) 这个指标是总DNFB除以平均日收益. DNFB中的天数应近似于已建立的票据保留天数.
9. 逾期费用占总费用的百分比: 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: This metric helps evaluate the effectiveness of credit balance management 和 is the total A/R credit balances divided by average daily revenue.
11. 病人满意度: 虽然不是严格的财务指标, 患者满意度在收入周期管理中起着至关重要的作用. Satisfied patients are more likely to pay their bills promptly 和 engage in positive 金融 interactions, 减少坏账风险或收款挑战.

Monitoring these metrics regularly 和 comparing them against industry benchmarks can help healthcare organizations identify areas for improvement, 长期跟踪绩效, 实施战略，加强收益周期管理.

我应该在医疗保健顾问身上寻找什么?

It is obvious that any advisor should have the deep technical expertise 和 experience to help you solve issues. 一样重要, 你应该有一个你喜欢一起工作并帮助培养正确文化的顾问. 大型改造项目, 甚至那些规模较小的, 需要解决棘手的问题，经常长时间工作. Our team at LBMC takes pride in our collaborative 和 positive approach to helping our clients.