How Outsourcing Revenue Cycle Management Can Benefit Your Agency

August 2024

Managing revenue is the backbone of any home health or hospice agency. Without a solid financial foundation, you can’t provide the best patient care or keep your operations running smoothly. Revenue cycle management (RCM) is a critical component of this process, encompassing everything from patient intake and insurance verification to claims submission and payment processing. Effective RCM is crucial for maximizing revenue, minimizing delays, and reducing bad debt. However, it can be complex and time-consuming, especially for agencies with limited resources. Therefore, outsourcing RCM can benefit home health and hospice agencies' operational and financial performance.

Benefits of Outsourcing RCM to Cliniqon


Improved Cash Flow and Cost Savings

Cliniqon’s RCM expertise ensures timely and accurate payments, boosting your agency’s cash flow and financial stability. Our team works closely with payers to submit claims faster and resolve any issues quickly, reducing delays and denied claims.

Moreover, partnering with us also helps agencies achieve cost savings compared to maintaining an in-house RCM team. Essentially, you don’t have to worry about labor costs associated with hiring, training, and retaining skilled RCM staff.

Additionally, outsourcing can minimize technology investments, as our advanced RCM technology and infrastructure are already in place, eliminating the need for costly software, hardware, and IT support.

Ensured Compliance

Cliniqon’s team of RCM specialists includes certified professionals, such as registered nurses certified coders, billing specialists, data analysts, and IT experts. Our diverse team brings years of experience and knowledge in handling revenue cycles for home health and hospice agencies, which allows them to easily manage coding and billing regulations. Moreover, their expertise helps ensure that claims are submitted correctly and promptly, minimizing the risk of denials or delays.

Scalability and Flexibility

Home health practices often experience fluctuations in patient volume and changes in service offerings. Outsourcing RCM with Cliniqon allows providers to scale their operations to accommodate organizational growth, changes in patient data volume, and billing complexity without the complications of hiring or laying off staff. This scalability ensures the RCM process remains efficient regardless of the practice size or growth stage.

Expertise You Can Trust

Cliniqon encrypts sensitive data to prevent data breaches and continuously monitors and controls the flow of information, preventing unauthorized disclosures. Moreover, our data security team also conducts quarterly quizzes for our staff covering HIPAA, Infosec, and PHI-related topics, ensuring that all employees are continuously updated on best practices and are prepared to handle sensitive information.

Enhanced Operational Efficiency

Outsourcing RCM to Cliniqon enhances operational efficiency by minimizing administrative burdens, such as billing, coding, compliance management, paperwork, and manual data entry, which are often time-consuming and prone to errors. This also allows agencies to focus on patient care and reduce the risk of staff burnout. Moreover, partnering with us for RCM saves your time and resources, which can be redirected to grow your business, improve patient outcomes, and increase profitability.

Data-Driven Insights

With Cliniqon’s RCM services, you’ll gain access to valuable data and analytics, helping you make informed decisions and drive business growth. Our reporting and analytics tools provide insights into your revenue cycle, identifying improvement areas and optimization opportunities.

Elevate Your Revenue Cycle with Cliniqon

Outsourcing RCM to Cliniqon offers numerous benefits for home healthcare and hospice providers, including enhanced financial health, improved efficiency, access to specialized expertise, and better patient care. Cliniqon’s RCM services optimize coding and billing processes, ensuring compliance with industry regulations and effectively managing denials and appeals. Ultimately, partnering with Cliniqon for RCM strengthens the financial health of home healthcare and hospice providers and allows them to deliver a higher standard of patient care.