Gartner Research

U.S. Healthcare Provider Revenue Cycle Management Applications Positioned for an Expanded Enterprise Role

Published: 04 February 2014

ID: G00261519

Analyst(s): Melanie A. Meyer

Summary

The role, capabilities and importance of RCM applications are changing in response to financial realities and intense competition. IT and finance leaders can use this research as a framework for understanding the role of RCM applications in integrating HDO activities around financial performance.

Table Of Contents

Introduction

Analysis

  • Role of RCM in Healthcare Ecosystem Context — A Foundation
  • RCM Process Definition
  • State of RCM Technology Solutions
  • Preparing for a New RCM Future State
    • From a Siloed to an Integrated, Cross-Organizational View
    • From a Back-End Focus Toward a Front-End Focus
    • From Batch, Disjointed Workflows to Fully Automated RCM Operations
    • From Retrospect to Real-Time and Predictive Decisions
    • From Production-Oriented Roles to Analytical Roles
    • From Periodic Regulation to Continuous Change Regulation

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