Revenue cycle management (RCM) in healthcare
industry has fast become a buzzword over the past few years. It enables the
healthcare organizations to manage payments, claims processing, and revenue
generation, thereby accelerating the whole revenue cycle in an efficient
manner. RCM solution begins when a patient enters or schedules an appointment.
It automates the whole procedure with initiation of the process by the patient,
quick follow ups, determining the eligibility of the patient, collecting their
payment, effective tracking of the claims process, and working on rejected
claims among others. The rising need for streamlining the whole process has
further boosted the demand for RCM solutions, thereby triggering the growth of
the RCM market.
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Regulatory mandates for the adoption of EHR/EMR and government initiatives to boost the adoption of RCM solutions are the major factors driving the adoption of RCM solutions.
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Based on product, the integrated solutions segment is accounted for the largest share of the market in 2017
On the basis of product, the market is broadly segmented into integrated and standalone solutions. The integrated solutions segment is expected to account for the largest share of the global revenue cycle management market in 2017 and is projected to register the highest CAGR during the forecast period. Growth in this segment can be attributed to the rising adoption of value-based payment systems and the growing demand for cost-saving data management solutions.
Based on function, the claim and denial management segment is accounted for the largest share of the market in 2017
On the basis of function, the market is broadly segmented into claim and denial management, medical billing and coding, patient insurance eligibility check, payment remittance, electronic health record (EHR), clinical documentation improvement (CDI), and others. The claim and denial management segment is expected to account for the largest share of the global revenue cycle management market in 2017 and is expected to witness the highest CAGR during the forecast period. The growing demand for claims and denial management due to the dynamic reimbursement structure and the increasing instances of claim denials are the major factors driving the growth of this segment.
North America is expected to dominate the market in 2017
In 2017, North America is expected to account for the largest share of the global revenue cycle management market. The large share of this regional segment can be attributed to stringent legislative and accreditation requirements regarding healthcare, high adoption rate of HCIT technologies, and regulatory requirements regarding patient safety. Europe is expected to account for the second-largest share of the revenue cycle management market.
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Key Market Players:
The key players in the Global Revenue Cycle Management Market are McKesson (US), Cerner (US), Quest Diagnostics (US), Allscripts Health Solutions (US), and athenahealth (US).
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