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revenue cycle

Solutions for the Clinical Labor Shortage and Revenue Cycle

Hospitals and medical billing company systems now face unprecedented inflation as the industry’s financial and operational leaders struggle to find the funds for care delivery and administrative procedures. They must outsource RCM tasks and pick partners who can provide trained and certified resources because of inflationary pressures and a subpar revenue cycle.

 

How the Staffing Crisis Began

The staffing crisis has reached an all-time high following the pandemic, and many hospitals and clinics are reporting a shortage of physicians, nurses, and other healthcare workers. As the need for COVID care rises due to more recent COVID-19 variants, many emergency rooms have closed. Due to a lack of beds and medical staff, many ambulatory surgery centers advise patients to put off elective surgeries. It’s not like the healthcare industry has never experienced a staffing shortage. Because of the following factors, they have been hit the hardest in decades.

 

Burnout and Exhaustion Among Carers

Burnout has been brought on by the pandemic’s disproportionately heavy workload for physicians, nurses, and other healthcare workers. Many have reached the point of no return as a result of the numerous months of constant pressure to provide care in a difficult environment. Burnout is a result of lower pay, a lack of drive, and an aging carer population.

 

Improved Opportunities

A national reevaluation of the value of the job was prompted by COVID-19, and many people opted to pursue better opportunities in industries like retail. Due to changes in their spouses’ or partners’ employment locations, some healthcare professionals left their current positions and it affects the revenue cycle of companies.

 

The Slow Rate of Addition of Nursing Talent and the Aging Population

America is getting older, and as chronic illnesses necessitate specialized care, the demands for elderly care become more complex. The older nurses are feeling the pressure, burning out, and leaving the field as fewer younger nurses are entering the talent pool. Although there are nursing schools in the majority of states, not enough people choose nursing as a career.

 

Comparing Healthcare Pay to Other Industries

Healthcare organizations all over the country have had trouble luring entry-level talent. The issue is even more serious in rural institutions. The pay in the gig economy, retail, and other related fields is significantly higher than in the medical field. In the current competitive environment, rural facilities must pay for hiring and offer alluring benefits like sign-on bonuses and relocation grants.

 

Staffing Shortages’ Effects

The cost of care is significantly rising along with inflation. To increase productivity and workflow, they must provide the RCM team with the appropriate technology and equipment. Investments in development and process transformation are needed for these tools.

 

Solutions

Solutions to Staffing Challenges for Hospitals, Health Systems, and ASCs

Healthcare CFOs and human resource management services have different approaches they can use to address the staffing issue.

 

The Employee Value Proposition Has Changed

You can attract, train, and retain top talent by enhancing pay and benefits, offering educational opportunities, and creating an open culture.

 

ASCS and Rural Hospitals Can Use Staffing Companies and Remote Workers.

One way to address the problem is by contracting providers of temporary staffing solutions and enforcing stricter SLAs for coverage. They can also address the issue by providing current employees with cross-training.

 

Conclusion

It’s likely that the staffing shortage won’t end anytime soon. The time is now for healthcare CFOs to identify workable solutions to quicken the revenue cycle and enhance the institution’s financial stability. An innovative combination of on-site, remote, and temporary employees is needed for clinical staffing. Healthcare leaders can free up funds to invest in innovation and fight the current inflationary pressures by outsourcing administrative tasks like front office services.

 

 

Read More: Advice on Revenue Cycle Management for Medical Practices.

Iqra Haseeb

Introduction:

Organised and efficient Team leading Manager, supporting corporate level officers and senior management personnel with demonstrated expertise in financial and operational leadership. Adroit professional exemplifies multi-disciplinary managerial skills in process procedure and policy improvement initiatives. Accomplished in workflow optimization techniques implementation which increases productivity, reduces labour, and maintains business integrity and quality of service.

Skill: 

Extensive Client Coordination., Conducts business analysis to create value, Provide Support in creating or enhancing the business, Develop and manage strategic partnerships to grow business, Provide Insights or Conduct Studies related to Market or Business Operation related problems, Provide assistance in operating and handling the business, Develop and structure concepts, strategies, automating and scaling the business

Expertise:

Developed and implemented favourable pricing structures balancing firm objectives against customer targets., Education Coordinated innovative strategies to accomplish marketing objectives and boost long-term profitability., Reached out to potential customers via telephone, email and in-person inquiries., Worked with existing customers to increase productivity of  services.

Sharjeel Khan

Introduction:

Having 10 years of experience in the Medical Billing Industry & up to date with Government, Commercial, Automobile & Workers Compensation Payer guidelines throughout the U.S.
Strong knowledge of claims procedures and coding, account receivable/collection, Denial Management, Credentialing/EDI Enrollments and Revenue Cycle Management. Experienced in Electronic Claim (5010) Loop and Segment Editing, Creating Paper to Electronic Claims (EDI 837), Resolving EDI Rejections through Practice Management & Clearing house, creating invoices, customized provider reports, Auditing, processing insurance & patient payments, and pursuing past-due balances through unique & proven RCM process and Data Management.

Skill: 

ICD-10-CM, CPT, Coding Guidelines, Diagnosis Coding, Compliance, Facility/Professional Coding, Complete Revenue Cycle Management, Telehealth or Virtual Visits, Provider Education, CMS-1500, Upper hand in almost every top PM/EMR/EHR Software used, and many more...

Specialties:

Behavioral/Mental Health, Neurology, Family/Internal Medicine, Infectious Diseases, Pulmonary & Sleep Medicine, Pain Management, Physical/Sports Medicine and Rehabilitation (Physiatrist), Chiropractic, Podiatry, Radiology, and much more.

The Full-Service Bundle includes;
  1. Medicare for both one practice county and one provider
  2. Medicaid for both one practice location and one provider
  3. BCBS PID for both the practice and one provider
  4. RailRoad Medicare for both one practice county and one provider