Role and Importance of Practice Physicians in Revenue Cycle Management
Whenever discussions about business operations of hospitals and healthcare systems arise, many do focus on the administrative and financial departments of various health settings. Revenue cycle management is always accounted for in the mentioned departments, away from departments where primary care takes place. Today, the landscape of healthcare is shifting rapidly as practice physicians are getting involved in revenue cycle management in various health settings. It is no surprise that many health settings are today navigating from the fee-for-service model to fee-for-value model. The role of physicians is to provide primary care to patients. However, with the shift in the healthcare landscape, they can now determine the value of the services they deliver to patients (Grant, 2016). Through this, they help in documentation of the value of services offered, thus ensuring that various health organizations are paid appropriately for their services.
Message Sent to Other Medical Staff
Revenue integrity is often formed by unity, cohesion, and togetherness between the organizational departments and all health professionals with a particular setting. In the traditional revenue cycle management model, physicians were not engaged as active members of the revenue team. On the contrary, physicians are now increasingly becoming involved in the revenue cycle model and this sends a message to other medical staff that unity and collaboration are important within all health settings (Kaissi, 2014). Unity and collaboration help the health settings not only to be profitable but also improves the quality of care services offered to patients.
In the Patient Care Context
From a personal perspective, engaging physicians in revenue cycle management would not compromise patient care. As aforementioned, the model promotes unity between health settings and medical personnel. By engaging physicians in the model, they would feel that their contribution towards the organizational objectives is valued. Thus, they would be motivated to effectively perform their roles (Perreira et al., 2019). This would translate to improved quality care services.
A Provider Who Resists Being Part of The Process
In case there would be a provider who shows some resistance to the process of engaging physicians in revenue cycle management, I would tell him or her to explore revenue integrity model to understand its aim. The model aims to ensure unity and cohesion between all organizational departments and medical personnel within health settings.
Grant, M. (2016). The Importance of Education for Physicians on Clinical Documentation: Developing a Physician Clinical Documentation Program (Doctoral dissertation, The College of St. Scholastica). Retrieved from https://search.proquest.com/openview/5ce151422e64ef1c4f97e3ae33936155/1?pq-origsite=gscholar&cbl=18750&diss=y
Kaissi, A. (2014). Enhancing physician engagement: an international perspective. International Journal of Health Services, 44(3), 567-592.
Perreira, T. A., Perrier, L., Prokopy, M., Neves-Mera, L., & Persaud, D. D. (2019). Physician engagement: a concept analysis. Journal of healthcare leadership, 11, 101. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6666374/