I have worked in healthcare service delivery for over twenty years, and during that time, I’ve worked with a lot of clients regarding their electronic health record (EHR) requirements. Many companies offered “revenue cycle management” or “outsourced billing” and personally, I’ve never thought this was a good idea for most organizations. As the behavioral health fee for service payment system is retired, and organizations move to pay for performance models or work in capitated payment systems, they should be more and more focused on keeping these core competencies in-house.
It’s critical for providers to keep learning, and possibly hiring outside staff to help, but to never outsource key business processes. There are not many organizations that can keep on top of all of the regulatory changes. I’m dating myself, but creating a “learning organization” is about evolving, getting better at what you do, and not running away from it.
So what can an organization do to make sure they stay on top of the regulations and reimbursement processes as they evolve? Again, I think this comes down to the mission and vision of the company. All leadership needs to be on the same page as far as what business you are in, including the key metrics to making sure it runs smoothly and can continue to grow as an organization.
Some may disagree, and maybe a company goes so far down one end of the spectrum, that they need a stop gap and should outsource this process. But, at this point, I think there is a much bigger leadership issue than a billing issue.
Ted Wright joins Streamline with over twenty years of healthcare management experience. He has led both clinical and sales teams, and is completely focused on producing tangible results for the health and human services market. Prior to joining Streamline, Ted worked in numerous leadership roles including National Sales Director and Regional Vice President for some of the largest software vendors in the health and human services market. Ted has over fifteen years of experience in software, as well as an additional six years of experience in direct care management where he managed logistical coordination of rehabilitation services for multi-independence level, thirty-bed facility. Ted holds a Bachelor of Science in Psychology along with a Masters in Health Administration.