Revenue cycle management project aims to improve physician reimbursement with data-driven approach
The strategic plan project, under the system integration pillar, involves leaders from across the college
May 30, 2023— Like a Rube Goldberg machine, health care systems contain multiple integrated components that must seamlessly work together to generate the proper outcome. Revenue cycle management, the process of billing, payment and revenue collection, is one such system that begins before a patient is seen and carries through even after care is received, until reimbursement is collected. The multiple steps along that process pose potential external and internal challenges that could delay revenue collection.
As part of a project under the system integration pillar in the College of Medicine’s strategic plan, leaders across the college and UF Health Shands Hospital are working together to collect data to optimize revenue cycle management, and in turn, create more efficient systems that prioritize the needs of faculty, staff and patients.
Daniel Hoh, M.D., a professor in the Lillian S. Wells Department of Neurosurgery and assistant dean of revenue cycle management at the College of Medicine, serves as the project’s champion. He says the value of an efficient revenue cycle process is the impact it has on supporting the college’s missions in patient care, education, research and improving the health of the community.
“We have top-notch physicians, providers and staff at the College of Medicine delivering best-in-class care, and our goal in revenue cycle management is to support them,” he said. “We are working at the department and clinic levels with chairs, managers and staff to look at every step in the revenue cycle, to identify where we may optimize operations to improve physician reimbursement.”
Hoh said the revenue cycle management team uses a data-driven approach to form strategies for improvement across various operations. This will be an ongoing process, he noted, due to the constantly changing landscape of payer policies. But successful implementation will mean the revenue cycle team is able to apply real-time changes to meet those demands.
“Providing high-quality care means having the absolute best people, and I believe we do at the University of Florida,” Hoh said. “It’s important that we continue to serve our physicians and staff, and we are invested in doing our part with the revenue cycle team. That’s what drives me to be invested and involved in this, because I feel like this is how we continue to have a world-class college and leading institution.”