By integrating people, process and technology, we help improve workflow efficiencies, meet organizational metrics and control cost to collect.
Cerner’s RCM Services provide complete, holistic and proactive support for ambulatory and acute financial operations for organizations of all size and specialty. Our certified billing experts do more than process claims and manage denials; they lean on expertise, best practices and key learnings harvested from a process of continuous analysis and improvement to achieve the highest results for our clients.
Among the many challenges facing organizations is the implementation, training and inevitable learning curve of a new revenue cycle system. Through RCM services, our clients are able to streamline the process by utilizing our billing experts – who are also solution experts – which minimizes touches and reduces the number of resources required.
Cerner has the infrastructure – or capacity – of expertise, which helps avoid unnecessary disruptions that often occur with process or regulatory changes, and allows our teams to continually achieve best practice results.
And last, but often most important to financial leaders, is cost. It’s common that the first strategy a CFO employs is reducing the spend – and doing more with less. Leveraging Cerner for RCM services allows organizations to do just that – our expertise, skill set and singular devotion to the revenue cycle, and our vast resource pool, allows our clients to save money while improving financial performance.
Revenue cycle management outsourcing is no longer just about cutting costs. For many hospital systems, outsourcing is about remaining competitive. Payment reform has transformed how healthcare companies do business, and will continue to keep organizations on their toes for many years to come. Hospital systems of all sizes are seeking financial service partnerships to improve processes and drive new revenue efficiency. But financial management partnerships are rarely "one-size-fits-all." Intermountain Healthcare and Sumner Regional Medical Center structured very different financial service partnerships with Cerner to custom fit their organization's unique needs. As hospital leaders look to the future, they must find more efficient account resolution processes, better liquidation rates and more aggressive payer denial mitigation protocol, all at the lowest cost to collect.
Supports clients in 42 states, including:
Becker's Hospital review has released a whitepaper regarding a common trend where hospitals are looking to Revenuce Cycle Experts in order to protect their finances and gain a competitive advantage in the financial space of health care.
Technology advancement and industry shifts are driving more hospitals to adopt new strategic business models to protect their bottom line and maintain market share among financially agile competitors. By 2018, CMS predicts 50 percent of its payments will be tied to value-based models, compared to 30 percent in 2016. As government and commercial payers begin to impose outcomes-based contracts alongside fee-for-service payments, health care providers must optimize existing revenue cycle processes, while adding advanced and congruent technological capabilities to their financial wheelhouse. Developing advanced financial capabilities in-house, however, can be both cost-prohibitive and time-intensive.
Your business needs are unique. And that's why we've designed our revenue cycle management services to address the complex challenges of managing your revenue cycle operations. As health care shifts from volume to value, we help organizations, like yours, prepare for regulatory changes so you can maximize reimbursements while maintaining high-quality care.
Verify expected reimbursements and manage any variances and denials right within your workflow.
Connect clinical and financial information and automate utilization management, clinical documentation improvement and discharge care management within Cerner’s EHR.
Enable a comprehensive workflow including registration, scheduling, patient tracking, patient accounting and reporting through a single platform in the ambulatory setting.
Get complete and accurate information at the point of service to help manage your cash flow.
Electronically monitor, support and manage health information of all types for a comprehensive, secure medical record.
Yes, hospital systems of all sizes are seeking revenue cycle management services partnership to improve processes, drive new revenue efficiency and manage payment reforms.
From short-term project support to long-term engagements, we’ve designed our services to meet the unique business needs of all organizations and venues of care. This includes the following:
Denial management and prevention:
Partnership roles can flex based on specific partnership scope and client needs, but generally speaking, responsibilities are broken out in the following ways: