- The regulatory and financial pressures facing healthcare providers, facilities, and payers require timely and accurate medical claim form handling. Payers are demanding an ever-increasing amount of documentation for each claim, and the ICD-10 phase-in along with standards such as the HIPAA 275 will create even greater complexity. This added complexity will further hinder health care delivery services-related cash flow. HIS Applications such as RCM Solutions provide a critical component in optimizing and managing cash flow. There are many vendors marketing RCM Solutions to the health care vertical. RCM solutions for the following three types of business units: a group medical practice, a local community hospital, and a large hospital system
- Identify how each of the RCM solutions compares in terms of the variables for the business units and recommend the optimal RCM solution for each. Explain your reasoning.