Revenue cycle management (RCM) isn’t the sexiest of topics but is probably one of the most essential ones for provider organization executive teams. Simply having a clinical team that works hard and delivers a lot of services isn’t enough for financial sustainability if you don’t get paid.

RCM is defined as the provider organization payment process from consumer scheduling through treatment, coding, billing, and reimbursement. While fees in health care appear straightforward, that is not the case.;The RCM process is complicated by multiple contracts (even with the same payer), different payment rates for the same . . .

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