Healthcare Revenue Cycle: Innovative Approaches

Patients' personal and financial information isregistration. These employees don't fully
quickly becoming a major headache for healthcareunderstand the system, or simply want to get
revenue cycle administrators. Capturing andpatients registered in the shortest amount of time
maintaining the consistency of data is the key towith as little hassle as possible.
ensuring a smooth patient revenue cycle, withoutSo what can hospital administrators do to reduce
payment shortfalls, delays or costly re-workthis problem?
throughout the process.Auditing used to be the usual answer, but that
It's no wonder that keeping a consistent view ofcan become a game of cat and mouse as
the patient is a critical aspect of the entire hospitalhospitals race to catch errors and correct them
revenue cycle for healthcare providers, as notbefore they get too far. But, it still allows
doing so can result in lost revenue. And forincorrect information to be collected.
Healthcare Revenue Cycle technology vendors itIncreasingly, hospital administrators are turning
represents both a challenge and a uniquetheir attention to preemptive error prevention.
opportunity to differentiate themselves in aThe latests technological innovations are helping
crowded market by tackling a clear and currenthealthcare providers do so by allowing them to
demand in the market.use systems that integrate with their Hospital
Let's review how most issues in consistency andInformation Systems to provide guidance through
validity occur at the very beginning of thethe registration process.
revenue cycle, right at the point of patient access.Such systems guide the hospital employee
The registration process is often harried asthrough context specific questions to help aid in
patients can access hospital services throughthe gathering of complete and accurate
multiple entry points - like inpatient, outpatient andinformation, while checking the validity of data
the emergency room - which often doesn't allowbeing entered. Questions are dynamically driven
for a consistent registration process.by the information already known about the
Registration is decentralized and at times, clinicalpatient, the new information entered and the logic
personnel, instead of a registrar, will complete thedetermined by hospital administrators. Using this
process. Because of this, it is extremely difficultapproach administrators ensure that errors are
to ensure that all hospital personnel conductingvirtually eliminated before they are entered into
registrations follow the best practicesthe system.
Compounding the problem, hospital informationEven the most inexperienced hospital staff can
systems are not designed to help patient-facingnavigate flawlessly through even the most
employees through the data capture process atcomplex registration scenario, safe in the
registration.knowledge that the registration will be completely
These factors result in duplicate patient records,error-free. The registration process becomes
incorrect patient information being captured andstress-free for those involved, the amount of
inaccurate insurance details which hospitals arere-work necessary decreases and hospitals see
then faced with re-working in the back office. Iftheir revenues increased while their AR days are
they cannot correct the false information theyreduced.
must foot the bill for delayed payments and lossWith such benefits for the user it is no wonder
of revenue due to unpaid services.that an increasing number of technology vendors
Ideally, every person who registers a patientare starting to add this type of capability into their
should be aware of what to do to avoid theseRevenue Cycle and Patient Access products.
problems. However, the reality is that achieving aHealthcare providers are using innovation and
level of registration expertise and ensuring thatforward thinking together to reduce
best practices are always followed by everyoneineffectiveness and ensure that dollars are spent
in an organization is almost impossible.providing better healthcare and not wasted in
Hospital staff report to different departmentsinefficient processes. It is a winning combination
where the main job is not always patientfor patients, hospitals and vendors.