HealthTech Magazines November 30, 2022

By Christopher Ault, CRO, Cooper University Health Care

The “Cycle” Endpoint Has Been Extended

Search for a good definition of “Revenue Cycle” in healthcare and you will likely find something that reads like this: “The processes related to the intake, capture, billing, and collection of reimbursement for care provided”.  It used to be that when a claim was paid in full, the revenue cycle team’s job was complete. 

In recent years, that has all changed. The “cycle” as we once knew it now extends well beyond resolution of an outstanding balance. I call this shift ‘the transition from collecting to protecting’. Revenue cycle teams must now be equipped to manage and protect payments from audit and recoupment for another 18 months or more. With the [seemingly]...

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Topics: Health System / Hospital, Provider, RCM (Revenue Cycle Mgmt), Technology
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