SI-Cerner Users Collaborative No. 46: Revenue Cycle Transformation

Tim Reiner, VP Revenue Management, Adventist Health System. Second only to Meaningful Use, Revenue Cycle Management (RCM) is essential. About 60% of Registration and Patient Accounting applications were purchased prior to 1999, and HIMSS estimates 40% will replace RCM solutions in next 4-5 years. Your current EMR supplier will have a high impact on the RCM decision due to needed clinical/financial integration. The transformation required to enhance revenue cycle is critical due to increasingly complex reimbursement models and government intervention. Systems that can track end-to-end performance with clean integration, benchmark against peers, invest in technology to improve RCM, and think beyond the traditional boundaries of revenue cycle will win. Tim describes Adventist Health Systems’ move away from legacy, traditional revenue cycle, to advanced models of a clinical integrated revenue cycle; creating positive patient experience, accurate translation of clinical work into billing transactions, flawless claim submission, automated claims payment, and sustained financial success.