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- The health care industry is consistently evolving and many organizations are challenged to keep pace
- Constant regulatory changes inhibit providers from establishing an effective revenue cycle
- There is more political and legislative focus on consumer-driven health care and transparent billing practices industry-wide
- The provider industry, in general, is expected to operate on razor-thin margins
- A growing urgency to increase bottom line revenues is forcing providers to stay competitive within the market by leveraging new, emerging technologies
- Clinical specialization and provision of diverse outpatient services has contributed to reliance of many hospitals to support charge capture activities through disparate clinical and billing systems
- A clean claim often requires effective interdepartmental coordination and communication, which is often inefficient and undervalued
- It is estimated that 80-90% of all patient bills contain errors, which are likely to lead to significant missing revenue
- Outpatient hospital and doctors visits have surged by 20% in the past five years and is only continuing to grow (1.2 billion visits in 2005 alone). Conversely, the numbers of clinicians (and hospitals) providing these services have not grown with the same vigor and in many cases have declined
- Ineffective charge capture management is to blame for significant missing revenue in the outpatient setting
