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Why People Still Matter in RCM
In a world where automation is becoming the default answer to every problem, Streamline takes a different approach. We believe automation has its place, it can speed up routine tasks and eliminate simple errors. But revenue cycle management is more than just claims and codes. It’s about judgment calls, payer relationships, patient trust, and accountability. That’s why we choose to invest in people. Our specialists can interpret complex denials, adapt quickly to regulatory changes, and advocate for patients in ways no algorithm ever could. I’d love to hear your thoughts: - Do you think automation can ever fully replace human expertise in RCM? - Where do you think the balance between people and automation should be? See document attached and let’s discuss.
Why People Still Matter in RCM
Best Practices
Let’s crowdsource the RCM plays that actually move metrics. Drop ONE best practice your team uses and copy this format so it’s easy to learn from: Template to post your best practice: 1. Context: setting/specialty/payer mix 2. The Play (steps): what you do, in order 3. Metrics Moved: before → after (e.g., first-pass %, denial rate, days in A/R) 4. Artifacts: checklist/script/template (attach if you can) 5. Pitfalls & Tips: what to watch out for Starter ideas (pick one): - Eligibility “double-verify” at scheduling and day-of - Prior-auth tracker with SLAs and next-action reminders - Monthly edit tune-up: top rejections → new pre-submission edits - Daily 10-minute denial triage huddle + 48-hour follow-up standard - Weekly KPI one-pager (clean claim rate, first-pass yield, denial rate, days in A/R) - Appeal letter template customized by payer + reason House rules: no PHI; anonymize accounts; keep it practical. Who’s got the first one? 👇
Best Practices
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Free hub for hospital RCM teams. Smarter, faster workflows from the experts in auto accident and zero balance recovery. www.streamlinercm.com
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