The RCM processes getting regularly backlogged

Claims submission is the revenue cycle management stage where providers are most frequently seeing backlogs, according to a Sept. 14 report from Plutus Health. 

Plutus Health surveyed more than 200 healthcare providers about their RCM processes and plans, according to a Sept. 14 news release from the company. 

These are the 10 processes providers said are getting most regularly backlogged. Respondents were allowed to select multiple answers. 

1. Claim submission: 42 percent

T-2. Denial management: 31 percent

T-2. Patient collections: 31 percent

T-2. Prior authorization: 31 percent

5. Patient eligibility and benefits verification: 26 percent 

T-6. Patient billing: 17 percent 

T-6: Verifying fee schedule and contract with insurance company: 17 percent 

T-6. Medical coding: 17 percent 

T-6. Verify provider credentials: 17 percent

10. Reporting: 9 percent 

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