What are some common challenges that post-acute long-term care practitioners face in managing the revenue cycle, and how do these challenges differ from those in acute care settings?

Post-acute long-term care practitioners face unique challenges in managing the revenue cycle that differ from those in acute care settings. These challenges can often lead to a loss in revenue and a hit to your post-acute long-term care practice’s credibility. Some of the common post-acute long-term care RCM challenges are:

  1. Complex reimbursement systems: Post-acute long-term care practices often deal with various reimbursement systems, such as Medicare, Medicaid, and private insurance. Navigating these intricacies, including understanding the specific requirements, regulations, and documentation guidelines, can be a significant challenge. For more information on different reimbursement models, check out our interview with Saisystems Health’s Vice President of Customer Success David Lane here.
  2. Lengthy authorization processes: Many post-acute long-term care services require prior insurance providers’ authorization. These authorizations can be time-consuming, often involving extensive paperwork and documentation. These delays can impact revenue flow. 
  3. Changes in regulations: Healthcare regulations and policies constantly evolve, and post-acute long-term care practices must stay up-to-date to ensure compliance. Adapting to regulatory changes, such as new coding requirements, billing rules, and documentation guidelines, can be challenging and time-sensitive.

These are just a few of the post-acute long-term care RCM challenges facing practitioners today. But how do these challenges differ in other acute care settings? Here’s Saisystems Health’s very own Mikell Clayton to discuss the differences.

For more interviews focused on RCM challenges in post-acute long-term care, fill out the form below for our all-new E-book featuring never-before-seen interviews with Saisystems’ very own David Lane and Mikell Clayton.

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