The North American Revenue Cycle Management (RCM) market is spread across various countries in this region. There are a lot of companies and their subsidiaries with their operations in this market. This report elaborates on the market growth factors along with sales figure and forecasts between 2013 and 2018.
Revenue Cycle Management is an integral administrative function in the healthcare industry. This function helps the staff manage claims, payments, and revenues. This makes way for the hassle-free processing of transactions and eliminates errors. The whole process helps run a healthcare facility.
Revenue Cycle Management Systems are sophisticated systems designed keeping in mind the requirements of healthcare facilities and the transactions and claims processed on a regular basis. This system captures all the information required to process a transaction, right from the patient details to the insurance provider details and other necessary data that needs to be referred to during the course of the treatment and claims processing.
An RCM system enables coding that is required for proper medical billing. Coding rules must be followed during this process otherwise the facility faces the risk of non-compliance. After the coding is done and necessary changes or edits made, the claim can be sent to the insurance company to be processed. If there is a denial of claim, the claim can be re-submitted.
The automation of RCM is important as it brings down the number of errors and fraudulent claims posted.
This report on the North American Revenue Cycle Management market is prepared with extensive primary and secondary research. It covers various details of the market that help understand how it performs and the progress it will witness during the forecast period of 2013 to 2018.
On the basis of types, the market is segmented into web scheduling, integrated RCM system, standalone RCM system, web pre-registration, medical necessity alert at registration, medical necessity alert at scheduling, claims attachment rules, claims denial rules, biller’s dashboard, EMR documentation for claims, claims remittance updates AR, direct payer claims, EFT transaction, eligibility transaction with payer, web bill pay, and revenue cycle management system, along with other applications.
The companies in this market include Kareo, Allscripts, Quest Diagnostics, SSI Group, Inc., Athenahealth, eClinicalWorks, Cerner Corporation, CareCloud Corporation, McKesson Corporation, and GE Healthcare.
The end-users of this market are hospitals, office-based physicians, ambulatory care solutions, and medical & diagnostic laboratories. A macro indicator of this market is the healthcare expenditure. Components of this market include hardware-healthcare IT, software-healthcare IT, and services-healthcare IT. Deployments of this market cover on-premise systems, cloud-based systems, and web-based systems.
This report focuses on market figures, describing the performance of companies and the subsidiaries that serve this market. Development strategies of various companies and their market shares have also been included in the report.
1.1 Introduce the Market
1.2 Objective of the study
1.3 Market Definition and Scope of the study
1.3.1 Market Definition
1.3.2 Areas covered
1.3.3 Markets Covered
1.5 Research Methodology
1.5.1 Secondary sources
1.5.2 Primary Sources
1.5.3 Market estimation methodology (Top-down, bottom-up, data triangulation.)
1.5.4 Macro indicators for the study
1.7 List of Acronyms
2 Market Overview
3 Revenue Cycle Management System (RCM)-North America, By Deployments
3.1 Revenue Cycle Management System (RCM)-Web-based-North America
3.2 Revenue Cycle Management System (RCM)-On-premise-North America
3.3 Revenue Cycle Management System (RCM)-Cloud-based-North America
4 Revenue Cycle Management System (RCM)-North America, By Components
4.1 Revenue Cycle Management System (RCM)-Services (Healthcare IT)-North America
4.2 Revenue Cycle Management System (RCM)-Software (Healthcare IT)-North America
4.3 Revenue Cycle Management System (RCM)-Hardware (Healthcare IT)-North America
5 Revenue Cycle Management System (RCM)-North America, By Products
5.1 Standalone RCM System-North America
5.2 Integrated RCM System-North America
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