Revenue Cycle Management - Implementing a Data Driven Approach

Revenue Recovery Management ( RRM) is an integrated web-based system for managing and automatically processing the capture and analysis of online retail customer information. Its main objective is to avoid, detect, and restore lost sales that are generated online. It helps in collecting customer information and generating reports which can help retailers in making better decisions and taking decisions to invest more in their business. Here is an explanation of how this application works and its benefits for retailers.

There are three major benefits of using Revenue cycle management (RCM): faster reimbursement, fewer errors, and improved profitability. This application is very useful for analyzing potential reimbursements to avoid reimbursements for items that do not contribute to revenue or for items that were previously reimbursed but are not used on site. It enables quick identification of the areas in which overpayments occur. This application enables quick corrective actions like adjusting claim amounts or re-aging claims in order to avoid potential revenue gaps. In addition, it also reduces claims processing costs by identifying and treating unique cases of non-reimbursement.

Another important advantage is reducing errors in the revenue cycle by improving documentation and audit procedures. It improves cash flow by reducing overpayments and underpayments, which reduce the number of transactions processed in each period. It allows quick identification of transaction errors, which can be used for corrective actions such as reducing the volume of items that are carried in inventory. An effective revenue recovery management system improves cash flow by reducing cycle times and increasing efficiency.

This application helps retailers in managing and control online orders in real-time using a data-driven approach. The application enables quick detection of patterns of un-logged transactions, which can increase opportunities to exploit for cost reductions and increase profitability. It helps hospital pharmacists and retailers in making decisions about where to source ingredients from, when to stock certain items and when to drop the supply of items. It also helps them in evaluating the prices of listed items and identifying markup rates. A comprehensive data recovery management system provides retailers and hospital pharmacies with data on customer demographics and spending habits enabling efficient order entry, product pricing, product replenishment, and order returns.

Another great advantage is reducing the number of disputes about cost and payment. This can lead to longer payback terms for health plan drug reimbursement and reduction in health care costs. A comprehensive data recovery management system identifies all service call center activities and other out-of-pocket costs. It helps reduce fraudulent billing and recovery claims and timely notification of patients about their benefits. It minimizes health plan drug reimbursement fraud by identifying suspicious activity, which in turn, could lead to prosecution. Overall, a well-implemented revenue recovery management system helps health plan drug reimbursement providers achieve their business objectives.

A comprehensive revenue recovery management system allows health plan drug reimbursement providers to provide improved service to patients and lower health care costs Like Dominion Revenue Solutions. It helps hospitals reduce their overhead expenses, improve cash flow and increase revenues from drug sales. It ensures efficient ordering of medications and helps drug manufacturers sell their products more efficiently. With a data-driven approach to inventory, retailers and hospital pharmacies can make informed decisions and proactively pursue revenue recovery goals.