Assessing The Efficiency and Impact of The Revenue Cycle Management (RCM) Model in Hospitals

Revenue cycle management (RCM) plays an important role in ensuring the financial stability and operational efficiency of hospitals. This study evaluates the effectiveness of RCM models in revenue production, reducing claims refusal, and improving cash flow in healthcare institutions. Through a qualitative and quantitative approach, the study analyzes major performance indicators such as billing accuracy, reimbursement rates, and time of collection. Conclusions suggest that successful RCM implementation increases financial performance, reduces administrative burden, and the patient streamlines payment processes. Nonetheless, to achieve the best outcomes, organizations must tackle ongoing hurdles in regulatory compliance, seamless technical integration, and comprehensive staff training. The study therefore recommends boosting revenue-cycle-management efficiency through strategic automation, consistent policy standardization, and robust, ongoing training initiatives for all personnel.

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Publication Details

Journal
International Journal of Accounting and Economics Studies
Published
2025-08-28
DOI
https://doi.org/10.14419/b1b28k76
Primary Topic
Quality and Supply Management
Type
article
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article

Assessing The Efficiency and Impact of The Revenue Cycle Management (RCM) Model in Hospitals

R. S. Lekshmi, Dr.S. Uma, Utkarsh Anand, Shyam Maurya et al.
International Journal of Accounting and Economics Studies
Quality and Supply Management
article

Assessing The Efficiency and Impact of The Revenue Cycle Management (RCM) Model in Hospitals

R. S. Lekshmi, Dr.S. Uma, Utkarsh Anand, Shyam Maurya, Anandhi Damodaraswamy
article en

Abstract

Revenue cycle management (RCM) plays an important role in ensuring the financial stability and operational efficiency of hospitals. This study evaluates the effectiveness of RCM models in revenue production, reducing claims refusal, and improving cash flow in healthcare institutions. Through a qualitative and quantitative approach, the study analyzes major performance indicators such as billing accuracy, reimbursement rates, and time of collection. Conclusions suggest that successful RCM implementation increases financial performance, reduces administrative burden, and the patient streamlines payment processes. Nonetheless, to achieve the best outcomes, organizations must tackle ongoing hurdles in regulatory compliance, seamless technical integration, and comprehensive staff training. The study therefore recommends boosting revenue-cycle-management efficiency through strategic automation, consistent policy standardization, and robust, ongoing training initiatives for all personnel.

International Journal of Accounting and Economics StudiesVol. 12(SI-1)
Saint Joseph's College (US), Kalinga University (IN), St. Joseph's Institute of Technology (IN), G.S. Science, Arts And Commerce College (IN), B.S. Abdur Rahman Crescent Institute of Science & Technology (IN)
Partnerships for the goals
Openalex Percentile: Top 62%
Quality and Supply Management
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