The last 15 years have shown more regulatory changes than the previous 100 years of health care reform, combined. When it comes to RCM, more health care organizations are finding themselves having to do more with less. Due to increasing pressures, more practices and health systems are choosing to outsource RCM services.
Cerner RCM services offer a true partnership for our clients, a shared responsibility and accountability, and proves that we are invested in our clients’ success beyond any of our competitors. By integrating people, process and technology, we help our clients improve workflow efficiencies, meet organizational metrics and control their cost to collect.
Benefits
Continuous analysis and improvement: Intelligence + expertise
Account resolution
- Claims processing
- Payment posting
- Online bill payment
- Self-pay
- Accurate payer reimbursement
Denial management and prevention
- Denial mitigation
- Root-cause analysis
- Translation to accurate charge transactions
- Analysis of technical and clinical denials
Patient / provider experience
- Adoption of culture
- Loyalty
- Patient advocacy
- Increased referrals
Capacity
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.
Competency
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.
Cost
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.
FAQs
Does Cerner offer revenue cycle management services for all organizations no matter how big or small?
Yes, hospital systems of all sizes are seeking RCM services partnerships to improve processes, drive new revenue efficiency and manage payment reforms.
What type of revenue management services does Cerner offer?
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:
Account resolution:
- Claims processing
- Payment posting
- Online bill payment
- Self-pay
- Accurate payer reimbursement
Denial management and prevention:
- Denial mitigation
- Root-cause analysis
- Translation to accurate charge transactions
- Analysis of technical and clinical denials
Patient/provider experience:
- Adoption of culture
- Loyalty
- Patient advocacy
- Increased referrals
In looking at the full billing cycle, what are Cerner RCM services teams responsible for, and what am I responsible for?
Partnership roles can flex based on specific partnership scope and client needs, but generally speaking, responsibilities are broken out in the following ways:
Full outsource
- Registration and scheduling (CLIENT)
- Point-of-service collection (CLIENT)
- Clinical documentation (CLIENT)
- Coding/charge entry (CLIENT in ambulatory venues; CERNER in acute)
- Dedicated revenue cycle executive (CERNER)
- Claims management (CERNER)
- Self-pay management (CERNER)
- Patient call center (CERNER)
- Payment posting (CERNER)
- Denial management/prevention (CERNER)
- Monthly reporting (CERNER)
- Online bill payment posting (CERNER)
- Regional practice managers (CERNER)
Related Offerings
As reimbursement changes become a reality, your organization needs a strong financial foundation in order to succeed. Our integrated billing, claims and contract management solutions enable your organization to verify expected reimbursements and manage any variances and denials right within your workflow.
Connect Cerner’s electronic health record (EHR) to the revenue cycle to fuel a clinically driven revenue cycle system. With the evolution of the reimbursement model, bundled payments and others, efficient management of care has never been more important.
Information is powerful. Getting complete and accurate information from patients at the point-of-service is a necessary step to help manage your organization's cash flow. From the point-of-service, manage a patient's identity by creating a single patient record with a complete picture of the patient's health and financial information.
Streamline HIM workflows. Accessing information and completing tasks through seamless integration with Cerner’s EHR impacts coder effectiveness and coding efficiencies. In order to avoid delays, your care team needs streamlined workflows, processes and efficiencies to deliver quality health care through quality information.
Leverage document management across the EHR – enabling integrated workflows within Cerner Millennium®. Cerner's Enterprise Document Management solutions provide health care organizations the ability to automate document-intensive processes and create comprehensive electronic records for the enterprise. These integrated solutions allow organizations to incorporate paper and electronic documentation directly into the patient's chart in real time.