Revenue Cycle Complexity: The Root Cause of Poor RCM Outcomes

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In this episode of Rehabbing Your Revenue Cycle Podcast, host Robert Kowalick , Founder & CEO of Revenue Cycle Solutions, LLC and Ascend Solutions, LLC , explores what he calls the “Revenue Cycle Complexity Black Hole.” He explains how and why healthcare revenue cycles are experiencing a pandemic of preventable complexities, weakening the financial health of healthcare organizations. Robert explains the many causes of Revenue Cycle Complexity (RCC) and how to quantify them while providing objective proof that reducing RCC improves every objective RCM outcome measure. Listeners will learn how it is the RCC within the claims volume that determines Billing Time Demand, not the volume itself. RCC can inflate the most critical billing task times by as much as 4000%! Listeners will learn why reducing RCC should be the #1 focus of every revenue cycle management system, process, and function. Robert explains how to transform any billing team from back office task doers into powerful revenue cycle intelligence data generators providing the insights needed to reduce even the largest and most damaging Revenue Cycle Complexity Black Holes. With years of data coming from millions of claims, Robert explains how individual errors and omissions across systems, administrative workflows, and payer processes feed the RCC Black Hole so it can consume your time and financial resources while reducing RCM effectiveness. Like any problem worth solving, Robert shares why understanding and measuring RCC is the first step to reducing it. Using clear examples and real client case studies, Robert shows how reducing complexity can lead to reductions in AR, faster payments, improved revenue, improved billing efficiency, lower billing costs, and ultimately a more valuable business. Stay tuned for future episodes that will identify must-have RCM metrics that break down the sources of complexity and quantify your RCC Black Hole and how to reduce its damaging impact on your healthcare business. Expect to Learn -Why revenue cycle complexity is the biggest hidden challenge in healthcare revenue cycles -How quantifying RCC and its impact on billing time demand reveals staffing shortfalls at the task level, which causes outcomes to suffer -Why converting the medical biller’s daily experience into RCC data is the most effective way to improve RCM outcomes -Why fixed billing time supply models fail, and why aligning billing time supply with billing time demand is required to create better cash flow, faster payments, and lower costs -Why reducing RCC is the most effective strategy for creating a more financially stable, more scalable, more efficient, and more profitable healthcare business Timestamps: [00:00] – Teaser [00:01:02] – Defining Revenue Cycle Complexity as a Black Hole [00:09:31] – How Billing Time Demand Is Shaped by Every Function [00:11:32] – Matching Billing Time Supply to Time Demand [00:24:34] – Why ADO Score Is the Key Outcome Metric [00:30:18] – Using the Biller’s Tasks to Create Useful Data [00:56:50] – The True Cost of High Complexity on Billing Time [00:58:24] – Comparing Low vs High Complexity Billing Outcomes [01:03:04] – Real Practice Case Study: PT Plus [01:06:24] – Real Practice Case Study: Summit Physical Therapy [01:11:08] – What’s Coming Next Company LinkedIn: 👉 Revenue Cycle Solutions, LLC - https://www.linkedin.com/company/revenue-cycle-solutionsllc/ 👉 Ascend Solutions, LLC - https://www.linkedin.com/company/ascend-solutions-llc-co/ Company Website: 👉 Revenue Cycle Solutions, LLC - https://revenuecyclesolutionsllc.com/ 👉 Ascend Solutions, LLC - https://ascendsolutionsllc.com/ Follow Robert Kowalick on: 👉 LinkedIn - https://www.linkedin.com/in/robert-kowalick-610502102/ Follow Rehabbing Your Revenue Cycle Podcast: 👉 Youtube: https://www.youtube.com/@RehabbingYourRevenueCycle 👉 Facebook: https://www.facebook.com/RehabbingYourRevenueCycle/ 👉 Instagram: https://www.instagram.com/rehabbingyourrevenuecycle/

Revenue Cycle Complexity: The Root Cause of Poor RCM Outcomes

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Keep going

It’s About Time: How Time-Based Billing Intelligence Data Can Maximize the Value of Your Practice (Part 1)

How Time-Based Billing Intelligence Data Becomes the Basis for Reducing Revenue Cycle Complexity and Improving Revenue Cycle Outcomes (Part 2)