Healthcare revenue cycle management (RCM) is the financial process that facilities management of the administrative and clinical functions associated with medical claims processing, payment, and accounts receivable follow up. Without this key financial process, healthcare organizations cannot keep their doors open to treat patients. US healthcare constitutes of three entities, namely, patients, providers, and payers. Providers are hospitals, clinics, and practices where physicians, surgeons, nurses etc. work to provide healthcare to patients. Payers are insurance companies which collect premiums from patients as their members and pay healthcare providers treating their members.
RCM involves preparing claims to be submitted to payers, posting payments received against the claims submitted, and following up for accounts receivables. ACP takes pride in hosting the best of managers and specialists who are certified and experienced with US medical billing, coding, and denial management processes.
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