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By Thomas Thatapudi & Matthew Bridge
August 8, 2023
A revenue cycle management (RCM) maturity framework can serve as a valuable assessment and diagnostic tool for healthcare organizations. Hospitals and health systems can use it as a roadmap to assess their current level of revenue cycle maturity compared to the broader industry, learn from high-performing organizations that have achieved advanced maturity, and identify the steps needed to accelerate their own maturation process. By benchmarking the current state and setting achievable goals as part of a “crawl, walk, run” methodology, organizations can chart a strategic direction to achieve greater maturity and optimize revenue cycle performance and transformation.
The AGS Health revenue cycle maturity framework evaluates organizations across three key pillars or layers: service delivery, technology and interoperability, and analytics. These pillars encompass various aspects of RCM and provide a comprehensive view of an organization's maturity level. The framework categorizes organizations into four stages: emerging, foundational, advanced, and high performing. Each stage represents a different level of sophistication in staffing models, centralization, and outsourcing strategies. By understanding these stages, organizations can identify their current position, assess areas for improvement, and enhance their capabilities.
In the first of a four-part series, we explore how healthcare organizations can leverage the framework within the service delivery pillar to drive revenue cycle transformation and achieve greater maturity.
By recognizing their current service delivery position within the framework, healthcare organizations can strategically align their staffing models, centralize processes, and leverage outsourcing opportunities with a practical approach to transform and enhance revenue cycle performance.
View our webinar “A Four-Stage Journey Toward RCM Transformation and Maturity ” and watch for the next article in our series that discusses navigating the technology and interoperability pillar on the maturity spectrum journey.
As AGS Health’s Chief Information Officer, Thomas leads the development of world-class products with unbeatable customer experience through data, digital, and cloud transformation. He brings an exceptional track record of elevating customer, employee, and stakeholder experiences through advanced technologies and technology-enabled services. Thomas is passionate about using data, insight discovery, and digital platforms to build and deploy products, platforms, and services for real and lasting transformation.