RCM
(การบริหารรายได้ (RCM))
Definition
RCM (การบริหารรายได้ (RCM)) Hard Skill
Revenue Cycle Management (RCM) is the process of managing the financial transactions and administrative functions related to the healthcare service lifecycle, from patient registration to final payment collection.
Expertise Level
Level 1
Basic
1. Understands the basic components of the revenue cycle process.
2. Can perform patient registration and collect preliminary information.
3. Familiar with common billing terms and insurance basics.
Level 2
Intermediate
1. Manages billing and coding accuracy to ensure proper claim submission.
2. Can coordinate with insurance companies for claim follow-up and denial management.
3. Understands payment posting and accounts receivable monitoring.
Level 3
Advanced
1. Analyzes revenue cycle data to identify process improvements and reduce denials.
2. Implements advanced RCM strategies and compliance with healthcare regulations.
3. Leads cross-functional teams to optimize revenue realization and cash flow.
