BC Advantage - 2025 Issue 1

A Practical Guide for Enhancing Efficiency Across Clinical Administration and HIM Services

Clinical administrative service teams face several complex challenges that impact revenues and patient care and add to clinician burden: a worsening resource shortage, disparate technologies, manual processes, and increasingly complex authorization and documentation requirements. However, the most significant issue is the competing priorities between revenue cycle management (RCM) and clinical operations – a problem worsened by complex technology and processes that lead to information silos between departments. This fragmentation increases administrative costs and hampers the productivity and effectiveness of clinical and health information management (HIM) teams.   Encompassing clinical documentation integrity (CDI), utilization management (UM), prior authorizations, and clinical...

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