Is RCM the Same as Billing? Understanding the Differences for Optimized Revenue Cycle Management
In the healthcare industry, efficient revenue cycle management (RCM) is crucial for financial stability and growth. But within this complex system, confusion often arises around the role of RCM services and their relationship to medical billing. Are they the same, or are there distinct differences? Understanding these nuances is essential for optimizing your practice's financial performance. medical billing vs RCM Demystifying RCM and Billing: Key Distinctions While both RCM and billing involve handling financial aspects of patient care, they differ in scope and focus: Medical Billing: Core Function: Generates and submits claims to insurance companies for reimbursement of services rendered. Tasks: Assigning accurate codes, preparing claims forms, managing denials and appeals, and following up on payments. Focus: Transactional and administrative, ensuring accurate claims submission and timely payments. Revenue Cycle Management (RCM):...