In a world of with many fast moving systems, where and how does Revenue Cycle Management fit?
Are numbers soring for practitioners or are they staggering due to uncertainties? Welcome to the world of Business Process Outsourcing (BPO), whereas some practices love to utilize the benefit, then there are others who have mixed feelings. However, it's clear, the world functions at a faster pace with RCM through BPO services.
Asking the Experts
“Our years of experience provide services that fulfils our clients needs, seamlessly, where demand requires extensive training and understanding of the insurance world, we play a huge role in the shadows of patient experience... we are always ready for the next project" - When asked whether clients prefer an in-office person or an account manager that helps identify training opportunities - "it carries more positive benefits than risks, and our clients tent to appreciate us more as time goes-by".
- I. Mohammed
Conversations with RCM companies always comment on what dentists ask for, reliable employees with knowledge of insurance billing and collections, Revenue Cycle Management (RCM).
At SCS, knowledge of what complex dental organization and patient satisfaction means understanding insurance types and the best method of maximizing utilization.
Part of our strategy in strengthening providers with their treatment plan presentations, maximizing utilization, and finances requires a reliable and accurate eligibility breakdown.
Helping dentists credential properly and negotiation essential procedures from the beginning is key at SCS. Best practice begin in understanding sales, membership, customer service, claims, and the finance department of an insurance company. To new dentist coming out of dental school, to groups looking to become DSO, we have leverage the power of knowledge with the RCM through years of experience at SCS.
Speaking with I. Mohammed, a president who worked his way up from supervising, managing, and implementing new processes within a 15 year spans for a fortune 300 company, he expressed his excitement and joy for continuously growing his team. During our conversation he tells us "Our years of experience helps provide services that fulfils our clients needs, seamlessly, where demand requires extensive training and understanding of the insurance world, we play a huge role in the shadows of patient experience, always leveraging the power of knowledge, experience, and staying up-to-date with insurance initiatives and government policy, it is important for us to support current and new providers, we are always ready for the next project."
A common offer dentist market is competitive rates, but the low cost can't come at the expense of delays eligibility, or incorrect returns. A challenge doctors face at times is hiring a strong billers with AR & Collection, knowledge, and experience. When asked how he felt about clients who prefer an in-office person or an account manager that helps identify training opportunities for back staff - "it carries more positive benefits than risks, and our clients tent to appreciate us more as time goes-by" Expanding a small group of dentists, to a large DSO, gave I. Mohammed the capability to build a team that provide services that help fulfils his network of client.
Supporting large groups means continuous around the clock work, and within in their integrated systems, tracking, checking, balancing, his role as president is to help Explaining RCM to clients Nation-wide, colleagues became natural at delivering results in eligibility verification, break down of benefits showing history, identifying wait times and authorization requirements helped reduce and maintain low AR - it evolved by adaptation and building systems of knowledge to their essentials.
At SCS we help dentist identify if providers have the right personnel, provide the training and opportunity for personnel to meet expectations with knowledge and experience. We have high expectations of our clients to do what is right for their employees and have notices that at times they settle for low wages due to struggles with booking patients and payment tracking (believe it or not). It's a known issues since the start of the pandemic, and got worst as time went by or when the organization is getting to a size that it cannot be managed.
For now, leading industry continue to investing in training programs focused on enhancing patient's experience and seek systems and technologies that can deliver RCM.
Emerging tech companies are using AI and screen detecting technologies, that can submit and track payment for positing, putting them in the forefront of technology in RCM. Eligibility and its various ways to obtain it (fax/phone/internet) is a key and essential part of providing a 360 RCM package for clients, if AI companies cannot produce this sections, they burden the practice with work. However, needing manual work (humans), is not what big tech does and tech vs manpower is a big concern in some aspects of the field (as it leaves humans with out jobs, jobs such as eligibility, Resubmission Turnaround Documents (RTDs), and other status that require human interaction and cannot be made autonomous with AI.
It is certain that dentists want to focus on the rendering of recommended treatment for their patients, improving their treatment delivery rate, and avoiding incorrect eligibility verifications that end-up costing more time and money, and worst if combined, inaccurate claims that require more clarification and time.
SCS is proud to know this knowledge and understands well to know how the utilize and combine it with excellence in training and culture. We can make RCM the key component to the success and growth to your practice. As being part of a major DSO we lead an industry because we knew how to make a difference, whether its helping a child with an ER appointment, or accommodate a same day new patient, or considering doctor's time slots - and offering a different time for that major treatment (because it cannot be scheduled in a short slots), etc., It makes us truly feel as we are part of the office.
The RCM world is not shy of claims or people, how many people it may need for you to fulfil your RCM system? well, we know for sure, the world has plenty of options for you to choose from - try us and find out how much more we know about the dental world.
Thank you for reading!
JC Shomar
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