Essentials Briefs
HIMSS Analytics® has released its 2016 RCM Denial Management Essentials Brief, a study on the U.S. hospital denial management solutions market.
WIth a focus on both quality of care and a healthy organizational bottom line, denial management for healthcare delivery organizations is a process that leads to cleaner submitted claims and fewer denials from payers. Gain actionable insights into the market for vendor-based solutions in this market.
Purchase this study to:
- Access current RCM denial management solution adoption rates and plans to purchase
- Understand vendor market share and mind share
- Get reported statistics for RCM denial management solutions across the entire US hospital landscape
Highlights of the study include:
- Current and planned adoption of RCM denial management solutions
- Vendor market share, mind share and market opportunity in the RCM denial management solution category
- Study respondents currently with RCM denial management solutions revealed high satisfaction with their vendor-based solution
- While there is low adoption of RCM denial management solutions there is a large amount of green space in the category
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MORE RESEARCH REPORTS
Unique Voice of Customer (VOC) from over 500 respondents. Year-over-year trending analysis of solution adoption. Despite efforts to tie provider reimbursements to quality metrics and overall cost of care reduction, less than 25% of respondents indicated a defined strategy around Accountable Care.
The need for additional functionality was cited as the primary driver by 68% of respondents who plan to purchase a new system, upgrade or replace their current system. Just under 25% of respondents currently make images accessible via mobile devices. Approximately 50% of respondents currently utilize Enterprise Image Viewing functionality.
This year’s study is a follow-up to the HIMSS Analytics 2013 C&BI study. While both studies reflect positively on C&BI’s market potential, there were notable differences, especially around the proposed application of C&BI solutions. In 2013, organizations were primarily interested in using C&BI to support their accountable care efforts, whereas in 2015, primary C&BI focus had shifted to population health.
Over half of US hospitals reported use of smartphones and/or tablet computers at their facilities. 69% of respondents noted that they used apps to access clinical information; however, only 33% reportedly believe they can access most or all of the clinical systems technologies they need via smartphones/tablet computers.