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It is crucial to make sure that coders stay updated about any yearly changes.",[],{"_key":2009,"_type":143,"children":2010,"markDefs":2015,"style":164},"k263",[2011],{"_key":2012,"_type":147,"marks":2013,"text":2014},"k262",[1178],"3. Claims submission",[],{"_key":2017,"_type":143,"children":2018,"markDefs":2023,"style":164},"k267",[2019],{"_key":2020,"_type":147,"marks":2021,"text":2022},"k266",[],"Claims that do not have any mistakes go through the adjudication process faster and get approved more easily. We aim at getting high first pass resolution rates, which means paying claims on the first submission.",[],{"_key":2025,"_type":143,"children":2026,"markDefs":2031,"style":1217},"k272",[2027],{"_key":2028,"_type":147,"marks":2029,"text":2030},"k271",[1178],"4. 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Compliance should be a part of the Revenue Cycle Management process, not a stand-alone task.",[],{"_key":2128,"_type":143,"children":2129,"markDefs":2134,"style":1217},"k326",[2130],{"_key":2131,"_type":147,"marks":2132,"text":2133},"k325",[1178],"4. Manual processes:",[],{"_key":2136,"_type":143,"children":2137,"markDefs":2142,"style":164},"k330",[2138],{"_key":2139,"_type":147,"marks":2140,"text":2141},"k329",[],"A manual-based process, validation, and claim scrubbing take time and open opportunities for mistakes and delays. Organizations that continue using such processes face an inherent weakness in their AR management operations.",[],{"_key":2144,"_type":143,"children":2145,"markDefs":2150,"style":1217},"k334",[2146],{"_key":2147,"_type":147,"marks":2148,"text":2149},"k333",[1178],"5. 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The following best practices target the areas with the highest operational and financial impact.",[],{"_key":2176,"_type":143,"children":2177,"markDefs":2182,"style":1217},"k351",[2178],{"_key":2179,"_type":147,"marks":2180,"text":2181},"k350",[1178],"1. Automate where possible",[],{"_key":2184,"_type":143,"children":2185,"markDefs":2190,"style":164},"k355",[2186],{"_key":2187,"_type":147,"marks":2188,"text":2189},"k354",[],"Eligibility verification, claims scrubbing, payments posting, and patient statements are among many processes that can benefit from automation. Automation helps to reduce errors, allows employees to focus on decision-making tasks, and speeds up the process.",[],{"_key":2192,"_type":143,"children":2193,"markDefs":2198,"style":1217},"k359",[2194],{"_key":2195,"_type":147,"marks":2196,"text":2197},"k358",[1178],"2. 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Strong financial infrastructure determines what you do with that money next.",[],{"_key":2623,"_type":143,"children":2624,"markDefs":2629,"style":164},"k504",[2625],{"_key":2626,"_type":147,"marks":2627,"text":2628},"k503",[],"For founders running healthcare businesses, the two are inseparable. A clean revenue cycle — low denials, fast collections, tight A\u002FR — means nothing if you can't track, move, and manage that cash across your operations.",[],{"_key":2631,"_type":143,"children":2632,"markDefs":2654,"style":164},"k517",[2633,2637,2642,2646,2650],{"_key":2634,"_type":147,"marks":2635,"text":480},"k512",[2636],"k505",{"_key":2638,"_type":147,"marks":2639,"text":2641},"k513",[2640],"sup","1 ",{"_key":2643,"_type":147,"marks":2644,"text":2645},"k514",[],"gives you the tools to close that gap: multi-currency accounts",{"_key":2647,"_type":147,"marks":2648,"text":2649},"k515",[2640],"*",{"_key":2651,"_type":147,"marks":2652,"text":2653},"k516",[],", real-time spend visibility, same-day international transfers, and expense controls that scale with your team. RCM tells you what you earned. Aspire helps you build with it.",[2655],{"_key":2636,"_type":161,"externalUrl":2656,"linkType":163},"http:\u002F\u002Faspireapp.com",{"_key":2658,"_type":143,"children":2659,"markDefs":2664,"style":1181},"k521",[2660],{"_key":2661,"_type":147,"marks":2662,"text":2663},"k520",[1178],"Frequently asked questions",[],{"_key":2666,"_type":143,"children":2667,"markDefs":2672,"style":1217},"k525",[2668],{"_key":2669,"_type":147,"marks":2670,"text":2671},"k524",[1178],"1. What is revenue cycle management in healthcare?",[],{"_key":2674,"_type":143,"children":2675,"markDefs":2680,"style":164},"k529",[2676],{"_key":2677,"_type":147,"marks":2678,"text":2679},"k528",[],"Healthcare revenue cycle management refers to the process of handling all the aspects of the financial lifecycle of the encounter from booking an appointment with the patient to the final settlement of payments.",[],{"_key":2682,"_type":143,"children":2683,"markDefs":2688,"style":1217},"k533",[2684],{"_key":2685,"_type":147,"marks":2686,"text":2687},"k532",[1178],"2. What is an RCM process?",[],{"_key":2690,"_type":143,"children":2691,"markDefs":2696,"style":164},"k537",[2692],{"_key":2693,"_type":147,"marks":2694,"text":2695},"k536",[],"The RCM cycle refers to the organized procedure by which an organization performs service delivery activities with the intention of collecting payments. This process usually involves 10 to 15 steps starting from registration through denial management and reporting.",[],{"_key":2698,"_type":143,"children":2699,"markDefs":2704,"style":1217},"k541",[2700],{"_key":2701,"_type":147,"marks":2702,"text":2703},"k540",[1178],"3. Why is RCM important?",[],{"_key":2706,"_type":143,"children":2707,"markDefs":2712,"style":164},"k545",[2708],{"_key":2709,"_type":147,"marks":2710,"text":2711},"k544",[],"The accuracy of payment and the timely payment of the healthcare institution rely on proper RCM. Failure in RCM causes claims denials, delayed payments, legal issues, and problems with patients' billing. RCM is strongly associated with financial viability.",[],{"_key":2714,"_type":143,"children":2715,"markDefs":2720,"style":1217},"k550",[2716],{"_key":2717,"_type":147,"marks":2718,"text":2719},"k549",[1178],"4. What are the stages of revenue cycle management?",[],{"_key":2722,"_type":143,"children":2723,"markDefs":2728,"style":164},"k554",[2724],{"_key":2725,"_type":147,"marks":2726,"text":2727},"k553",[],"The five essential phases are: pre-service (validation and authentication), service (record keeping and revenue capture), billing (code assignment and claim filing), payment (account posting and invoice processing), and post-payment (denial handling and analysis).",[],{"_key":2730,"_type":143,"children":2731,"markDefs":2736,"style":1217},"k558",[2732],{"_key":2733,"_type":147,"marks":2734,"text":2735},"k557",[1178],"5. What software is used for RCM?",[],{"_key":2738,"_type":143,"children":2739,"markDefs":2744,"style":164},"k562",[2740],{"_key":2741,"_type":147,"marks":2742,"text":2743},"k561",[],"Some of the most popular systems for RCM include Epic, Cerner, Athenahealth, AdvancedMD, and Kareo. Other companies incorporate billing and coding software, denial management software, and patient engagement solutions along with their core platform.",[],{"_key":2746,"_type":143,"children":2747,"markDefs":2752,"style":1217},"k567",[2748],{"_key":2749,"_type":147,"marks":2750,"text":2751},"k566",[1178],"6. 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What causes claim denials in RCM?",[],{"_key":2794,"_type":143,"children":2795,"markDefs":2800,"style":164},"k592",[2796],{"_key":2797,"_type":147,"marks":2798,"text":2799},"k591",[],"The typical causes include: no proof of the patient’s eligibility for insurance coverage, no prior authorization, wrong code used, duplication of the same claim, and insufficient patient information provided. Denial of claims can be avoided with proper controls from the beginning.",[],{"_key":2802,"_type":143,"children":2803,"markDefs":2808,"style":1217},"k597",[2804],{"_key":2805,"_type":147,"marks":2806,"text":2807},"k596",[1178],"8. What is revenue cycle optimization?",[],{"_key":2810,"_type":143,"children":2811,"markDefs":2816,"style":164},"k601",[2812],{"_key":2813,"_type":147,"marks":2814,"text":2815},"k600",[],"RCM optimization involves streamlining the revenue cycle management process by automating and standardizing processes and training personnel in order to improve first pass claim success, lower the number of denials, and speed up the reimbursement process.",[],{"_key":2818,"_type":143,"children":2819,"markDefs":2824,"style":1217},"k606",[2820],{"_key":2821,"_type":147,"marks":2822,"text":2823},"k605",[1178],"9. How does RCM connect to the rcm cycle in healthcare broadly?",[],{"_key":2826,"_type":143,"children":2827,"markDefs":2832,"style":164},"k610",[2828],{"_key":2829,"_type":147,"marks":2830,"text":2831},"k609",[],"The RCM cycle in healthcare is not a linear process, it's continuous. Data and insights from post-payment analytics feed back into pre-service processes, improving eligibility checks, authorization workflows, and documentation standards with every cycle.",[],{"slug":506,"title":507},{"_type":839,"alternativeText":2835,"height":1126,"url":2836,"width":1128},"Revenue cycle management 101: What it is and how it works","https:\u002F\u002Fcdn.aspireapp.com\u002Fwebsites\u002Fblog\u002Fb5523fa18dd214219189fce72d84ef8c\u002Fshared_cover_b5523fa1.jpeg",[2838,2844,2850,2856,2863],{"_key":1176,"_type":143,"children":2839,"level":1260,"listItem":1477,"markDefs":2843,"style":164},[2840],{"_key":1255,"_type":147,"marks":2841,"text":2842},[],"Revenue cycle management (RCM) is the end-to-end process of turning healthcare services into collected revenue—from patient scheduling all the way to final payment",[],{"_key":1271,"_type":143,"children":2845,"level":1260,"listItem":1477,"markDefs":2849,"style":164},[2846],{"_key":1267,"_type":147,"marks":2847,"text":2848},[],"RCM is not the same as medical billing—billing is just one component; RCM covers the entire financial lifecycle including eligibility, coding, denials, and reporting",[],{"_key":1283,"_type":143,"children":2851,"level":1260,"listItem":1477,"markDefs":2855,"style":164},[2852],{"_key":1183,"_type":147,"marks":2853,"text":2854},[],"The five core stages are pre-service, service, billing, payment, and post-payment—a mistake at any stage creates compounding problems downstream",[],{"_key":1294,"_type":143,"children":2857,"level":1260,"listItem":1477,"markDefs":2862,"style":164},[2858],{"_key":2859,"_type":147,"marks":2860,"text":2861},"k10",[],"Denial rates, days in A\u002FR, and clean claim rates are the metrics that matter most—organizations that track and act on these consistently outperform those that don't",[],{"_key":1198,"_type":143,"children":2864,"level":1260,"listItem":1477,"markDefs":2868,"style":164},[2865],{"_key":1194,"_type":147,"marks":2866,"text":2867},[],"Technology and automation aren't optional at scale—AI-driven denial prediction, automated eligibility checks, and integrated RCM platforms are now table stakes for efficient revenue cycles",[],[2870,2876],{"_key":1176,"_type":143,"children":2871,"markDefs":2875,"style":164},[2872],{"_key":1255,"_type":147,"marks":2873,"text":2874},[],"When healthcare organizations struggle to get paid on time, the impact goes far beyond billing. It shows up in cash flow, hiring decisions, and overall growth. The process of transforming healthcare service into financial gain is called revenue cycle management. Revenue cycle management makes it possible for healthcare organizations to be compensated for their services.",[],{"_key":1271,"_type":143,"children":2877,"markDefs":2881,"style":164},[2878],{"_key":1267,"_type":147,"marks":2879,"text":2880},[],"This guide describes what revenue cycle management is, the entire process of healthcare revenue cycle management, and the resource requirements for managing your revenue cycle successfully.",[],"2026-06-05T03:02:34.141Z",{"_type":122,"metaDescription":2884,"metaTitle":2885,"socialShareImageUrl":2886},"Revenue cycle management converts healthcare services into collected revenue. Learn how RCM works, its core stages, key metrics, and how to improve.","Revenue cycle management 101: what it is and how it works",{"_type":839,"alternativeText":2835,"height":1126,"url":2836,"width":1128},"revenue-cycle-management",[2889,2896],{"_key":1176,"_type":143,"children":2890,"level":1260,"listItem":2894,"markDefs":2895,"style":164},[2891],{"_key":1255,"_type":147,"marks":2892,"text":2893},[],"AFT US LLC, d\u002Fb\u002Fa Aspire, is a financial technology company, not a bank. The Deposit Account and banking services are provided by Column N.A., Member FDIC. FDIC deposit insurance covers the failure of an insured depository institution. Deposits in the Deposit Account are FDIC-insured through Column N.A., Member FDIC and Column's Sweep Program Network Banks. 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