Product Growth’s Post

How would you rate your RCM operation right now? ✅ Excellent 💡 Good ⚙️ Needs work, but claims are going out 🚨 Or… it feels like a mess that might need an audit Operational excellence doesn’t always make headlines, but it determines everything — from cash flow to team morale. The strongest revenue cycles aren’t always the loudest. They’re the ones running so well, you barely notice them. We explore this idea in our latest blog: The Invisible Power Behind Great Revenue Cycles. (Link in comments) #RevenueCycleManagement #RCM #HealthcareFinance #OperationalExcellence #ClaimsTheory

In revenue cycle management, we talk a lot about data, technology, and results, but rarely about how those results are built, or who is building them. Behind every metric are hundreds of operational decisions that determine whether your revenue cycle runs smoothly or constantly feels like it’s one step behind. Operational excellence is about building a structure that actually works, one that’s aligned, consistent, and resilient when things get messy (and in RCM, they always do). If you’ve ever found yourself wondering why the same issues keep resurfacing, or why performance dips despite good people and tools, this one’s worth reading. Sometimes the real problem isn’t what’s visible, it’s what’s quietly missing beneath the surface. Shout out to all of the operators working behind the scenes to make things happens. 👏 👉 The Invisible Power Behind Great Revenue Cycles — link in comments. #RevenueCycleManagement #RCM #HealthcareFinance #OperationalExcellence #Leadership #ClaimsTheory

✨ "A Step Forward in Healthcare Quality Management! I'm happy to share the completion of the powerful CPSQ webinar: 'From Data to Decisions: Visualising KPIs Effectively.' It was a masterclass in using Key Performance Indicators (KPIs) to drive tangible quality improvements and patient safety initiatives. A big thank you to Ms. S. Pichammal (Manager- Quality) Sugah Healthcorp - Healthcare vertical of ZOHO for sharing her expertise, and to Dr. Ankita Sengupta (Senior Executive – Quality, Narayana Health City) for expertly moderating this informative session. The program provided a deeper understanding of the NABH KPI Classification across all data types—Attribute Data (for Compliance/Reliability), Count/Discrete Data (for Event Occurrences), and Continuous Data (for Time/Ratios). Crucially, I gained a refined approach to selecting the precise chart (Line, Control, Bar, Scatter, Pie) to turn raw data into actionable intelligence, while also focusing on avoiding common visualization mistakes. I'm grateful for these experiences that strengthen my practical understanding of quality management and its application in delivering better patient outcomes. #HealthcareQuality #DataVisualization #PatientSafety #QualityImprovement #HealthcareLeadership #CPSQ #HealthcareAnalytics #DataToDecisions #KPIs #NABH"

When I Joined a Client’s monthly RCM Review as a “Guest”- What I Learned Was.. Eye-Opening! A few weeks ago, one of our clients asked me to join their weekly RCM meeting. A call they were still having with their previous billing vendor during the transition phase. Honestly, I thought it would be a quick observation. But what I saw was… eye-opening. The discussion started with denial percentages and unresolved claims, and within minutes, it turned into a loop of counter-questions and blame exchanges. The billing team kept circling around pending client inputs; instead of showing data-driven insights like denial trends, RCA, or payer-specific issues. 🔻No root cause analysis. 🔻No performance dashboards. 🔻No reimbursement or denial trend overview. What surprised me even more, the call was attended by associates and supervisors, but no manager or department head. When asked, we were told “they join only if needed.” And to top it off- no visual reporting, no QA metrics, no improvement roadmap. That’s when I realized again: “Processes don’t fail. Oversight does.” That’s a line I remind my teams often; and it applies to every successful RCM setup. If your RCM meetings don’t: 🔹Highlight key performance metrics (AR, denial %, first-pass rate) 🔹Discuss RCA and trend-based improvements 🔹Include leadership accountability and data visibility 🔹Drive actionable process improvements …then you’re not reviewing performance, you’re just reviewing numbers. Would love to hear your thoughts.. 😊 #RCM #RCMLeadership #MedicalBilling #GrowthStrategy

💡 Top Revenue Cycle Management (RCM) Tips to Keep Your Cash Flow Healthy 💰 A strong revenue cycle isn’t just about submitting claims — it’s about creating a seamless process from patient registration to final payment. Here are 5 actionable tips to keep your RCM process efficient 👇 1️⃣ Verify Eligibility & Benefits Upfront More than 25% of denials come from eligibility issues. Always confirm coverage, deductibles, and copays before the visit. 2️⃣ Accurate Coding = Faster Payments Use the right CPT, ICD-10, and modifier combinations. Even one wrong code can delay your payment cycle. 3️⃣ Submit Clean Claims Double-check demographics, NPI, and payer info. Clean claims = fewer rejections and faster reimbursements. 4️⃣ Track & Appeal Denials Promptly Never let denials pile up! Analyze patterns (CO-B7, CO-26, CO-97, etc.), fix root causes, and resubmit quickly. 5️⃣ Monitor Key Metrics Keep an eye on KPIs like: Days in A/R First Pass Resolution Rate Denial Rate Net Collection Ratio 📊 Reviewing these monthly helps identify trends before they become problems. --- ✨ Pro Tip: Automation and regular staff training can reduce errors and boost cash flow by up to 20%! Let’s build a revenue cycle that’s clean, compliant, and cash-flow strong. 💪

🔹 Optimizing Revenue Cycle Management: Insights from the Field 🔹 In the healthcare industry, effective Revenue Cycle Management (RCM) is critical for ensuring timely reimbursements, reducing denials, and improving overall financial performance. In RCM, I’ve seen firsthand how data-driven insights, proactive client communication, and process improvements can transform claim workflows: Denial Analysis: Identifying patterns and root causes can reduce claim denials by up to 30%. KPI Monitoring: Tracking key metrics like claim acceptance rates and payment cycles ensures teams stay on target. Team Leadership: Guiding and mentoring teams improves productivity, accountability, and accuracy. Process Optimization: Streamlining workflows not only saves time but also enhances client satisfaction. I’m always excited to exchange ideas and best practices with other professionals in healthcare operations and RCM. #RevenueCycleManagement #HealthcareOperations #RCM #ProcessImprovement #TeamLeadership #DataDriven

RCM: From Cleanup to Strategic Growth 💡 In revenue cycle management (RCM), it’s easy to get caught up in the reactive side of things, chasing down denials, correcting mistakes, and handling backlogs. But when RCM is treated as a strategic tool, the results go far beyond just “cleaning up” the books. A true RCM partner doesn’t just help you collect revenue, they help you grow it. Here’s how a proactive RCM approach can transform your business: ✅ Optimize Processes, Streamline workflows, reduce bottlenecks, and drive efficiency. ✅ Spot Opportunities – Identify areas for revenue growth and capture missed billing chances. ✅ Data-Driven Decisions – Use actionable insights to improve claims accuracy and reduce denials. ✅ Ensure Compliance – Protect your organization from costly compliance risks. When RCM becomes part of your growth strategy, it drives better outcomes for both your team and your bottom line. Are you ready to stop reacting and start strategizing? Let's talk about how we can transform your revenue cycle. #RCM #RevenueCycleManagement #MedicalBilling #HealthcareBilling #BillingStrategy #RCMPartner #ProactiveRCM #BusinessGrowth #FinancialSuccess #SmartBilling #RevenueOptimization #HealthcareInnovation

These are the most impactful upgrades you can implement to significantly enhance your Value Analysis Workflow and make the process easier for everyone involved. The volume of new product requests isn’t going to slow down — if anything, it will continue to grow. With time, resources, and budget under more pressure than ever, now is the right time to consider adopting some (or all) of these improvements.

These are the most impactful upgrades you can implement to significantly enhance your Value Analysis Workflow and make the process easier for everyone involved. The volume of new product requests isn’t going to slow down — if anything, it will continue to grow. With time, resources, and budget under more pressure than ever, now is the right time to consider adopting some (or all) of these improvements.

💬 Low RCM Rates ≠ Low Efficiency In Revenue Cycle Management, price doesn’t always define performance. A lower rate can still deliver exceptional efficiency when backed by: ✅ Smart workflows ✅ Experienced teams ✅ Automation and analytics Many assume “low rates” mean compromised quality — but in RCM, it often means optimized operations and lean management. Efficiency isn’t about how much you charge; it’s about how much value you deliver per claim. #RCM #HealthcareFinance #RevenueCycleManagement #Efficiency #HealthcareInnovation