If you’re looking for a revenue cycle management (RCM) software solution, you might wonder if there’s anything else to consider beyond cost. You’ve probably already done the math on your current system, but how do you know if it’s a good fit for your hospital? To help answer that question, we put together a comprehensive list of factors to consider when choosing RCM software:
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What Is Revenue Cycle Management Software?
RCM is a category of software that helps hospitals and medical practices manage their business processes. It can automate tasks and processes, improve efficiency, and help you achieve your goals faster.
There are many benefits of RCM, making it a must-have for healthcare providers. This is why the RCM market is growing exponentially. According to data from Technavio, the global RCM market is expected to grow at a CAGR of 10.5% until 2026. The data also shows that North America will contribute to around 54% of growth opportunities in the market.
How to Choose the Right RCM for Your Healthcare Business
There are many things to consider when selecting an RCM software or vendor. Here are a few of the crucial things to consider:
Cost is a significant factor when choosing the right revenue cycle management software for your healthcare business. The cost of the software itself is only one part of the equation. You also need to consider implementation, training, and support costs.
According to a recent Healthcare Financial Management Association survey, at least 36% of respondents said that budgets at their healthcare organizations stand to increase to accommodate RCM software. This shows that your budget should be flexible based on your needs. However, you still need to consider the costs as one of the most influential factors.
The price tag attached to any given RCM solution will vary based on several factors, including its features and functionality, as well as whether it’s cloud-based or installed onsite at your hospital or clinic.
While choosing the cheapest option available may be tempting, remember that there are other considerations beyond price alone when making this decision. Moreover, going with the cheapest option without considering other factors can cost you more in the long run.
User-friendliness is a major factor to consider when choosing revenue cycle management software. User-friendly software is easy to use and intuitive, making it a breeze for anyone in your organization, from staff members who work with the program daily to those who rarely use it.
A good user interface (UI) ensures that users don’t have trouble finding what they need or taking the appropriate action once they’ve found it. A UI should also ensure that each step of the process feels intuitive and self-explanatory so that people don’t ever feel confused about where they are or what steps remain before completing tasks like sending claims or submitting payments for reimbursement.
Billing Solutions and Support
Your billing solution should be easy to use and customizable to fit your healthcare business’s needs. The vendor should also provide support for the billing software and integration with your hospital’s existing IT environment.
Many revenue cycle management software types are available today, but some stand out from the rest because of their ease of use, flexibility, and customizable features.
Integration with Your Current Hospital IT Environment
For the revenue cycle management software to be truly effective, it must integrate with your hospital’s EHR and billing systems. This is an essential factor to consider when choosing a revenue cycle management solution because it will allow you to streamline operations and improve efficiency in all areas of your business.
If you’re already using a specific hospital software system, finding a solution that has been integrated with these platforms may be easier. In this case, look at what type of integration options are available within each vendor’s product suite so that they match up with your own needs as closely as possible.
Ease of Use and Training
The ease with which your staff can use the software is a critical factor in determining whether or not it’s the right fit for your organization. If the software is too complicated, your employees will struggle to learn and navigate it, slowing down their productivity. On the other hand, if it’s too simple and doesn’t offer enough features or functionality for managing revenue cycle management processes effectively, it won’t be able to meet all your needs either.
You should also consider how easy it will be for new hires or contractors unfamiliar with this type of software to get up-to-speed quickly on this particular solution. Also, you must consider if any training resources could help them do so efficiently.
The Vendor’s Support Team
If you’re looking for revenue cycle management software, you’ll want to ensure that the vendor’s support team is available 24/7. A support team that can help you with any issues or questions is also critical.
In addition, your vendor must provide training and education if you need more help getting up-to-speed on how their system works. Finally, customer service is an essential aspect of any successful business relationship, so look for vendors who offer quality customer service as part of their offering.
Choosing the right vendor is also crucial for minimizing the chances of problems down the road. For instance, a PR News Wire report from CISION shows that around 30% of hospitals and healthcare organizations use RCM software from multiple vendors.
While this can have some plus points, it can lead to vendor conflict. But if you pick one right vendor for the solution, you can leverage the optimal benefits of RCM software while ensuring seamless collaboration and mutual relationship with the vendor.
Business analytics is a powerful tool for understanding your business. It can help you understand your patients, staff, finances, and customers. Business analytics will make it easier to identify problems in your revenue cycle management process and correct them before they become too large.
For example, suppose there is an increase in claims denials. In that case, business analytics can show where these increases are coming from so that corrective measures can be taken before things get out of hand.
As you can see, there are many factors to consider when choosing revenue cycle management software. Hopefully, this article has given you some insight into what questions you should ask before deciding. Remember that there is no “right” answer for every healthcare business. It all depends on what’s most important for you. Hence, you must write down your requirements and select RCM software that can cater to them.