| The key informants’ comprehension of RCM. |
There is an agreement on how the key informants understand RCM. Below are some answers.
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RCM is a software-enabled process that aims to capture all bills within a single patient care episode.
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RCM is the process of generating bills based on the provided services during the care process.
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The process of RCM involves recognizing, overseeing, and gathering revenue for the services provided to patients. It is a crucial aspect of healthcare administration that ensures the effective management of patient service revenue.
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A well-designed RCM system improves billing and collection cycles by accurately processing payments.
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RCM incorporates patient demographic and administrative data into care.
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| Current hospital financial management |
Challenges that exist.
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External include increase demand, limited resources, and associated costs.
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Organizational factors include accountability and Internal Control System within government hospitals.
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Small scale business clinics
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| Obstacles encountered during the implementation of the RCM system |
As of now, no hospital has fully implemented the RCM system. Obstacles include the following:
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The RCM system lacks a clear vision.
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Accountability and proper policies and procedures.
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The staff’s resistance.
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The need for process redesign and proper system functionalities.
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The importance of exercising project management.
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| Recommendations to tackle any challenges mentioned for proper RCM implementation |
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Significant transformational processes, including vision, governance, and accountability.
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Training.
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Effective monitoring and evaluation processes.
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Communication must also be emphasized.
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Bringing patient perspective into focus.
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Bringing in all stakeholders can create direct and holistic benefits for patients.
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