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U.S. Patient Scheduling Systems Markets for Healthcare
Frost & Sullivan, Nov 2004
The Need to Improve Business Optimization is Likely to Drive Healthcare Providers to Implement Software-Scheduling Solutions
Across the United States, healthcare organizations such as hospitals, clinics, and outpatient centers are transitioning from non-profit stand-alone caregivers to competitive facilities with business-oriented operations. As in any corporate environment, decreasing overhead and increasing margins enables these organizations to continue providing up-to-date quality services to their clients. Information technology is fast emerging as the method to generate maximum efficiency within healthcare facilities. Greater automation efforts are expected, with care providers likely to turn to patient scheduling and access solutions for automated front-end operations. Integrated automated scheduling systems are expected to optimize resource utilization, thereby enhancing productivity and minimizing overhead.
This research is a thorough assessment of the U.S. healthcare industry and its current and projected implementation of patient scheduling software systems. Inpatient and outpatient perspectives of the market benefit vendors by helping them evaluate the available opportunities. The research also provides a detailed analysis of critical industry challenges and offers strategies to help overcome them and improve market penetration.
Decreasing Claims Backlog and Denied Claims Occurrence to Spur Implementation of Rules-based Automated Scheduling
One of the biggest causes of medical reimbursement backlog and subsequent revenue loss in the United States is the mismanagement of claims and wrongly denied claims. Approximately 60 per cent of denied claims can be attributed to errors in the information gathering process at the point of patient entry and registration.
Moving from forms-based and manual data collection to automated processes with rules-based engines at the point of scheduling and registration will arm healthcare providers with immediate intelligence on medical necessity and reimbursement procedure as well as physician authorization. Procedures can, therefore, be carried out knowing that reimbursement will have minimal downtime and payment will be immediate. Adopting patient scheduling solutions with patient access management components is likely to enable maximum utility within the registration process, thereby minimizing error and maximizing the potential for reimbursement, notes the analyst of this research service.
Growth of Consumer-Driven Healthcare will Drive Adoption of Automated Scheduling for Improved Customer Service
Quality and payment issues in the healthcare industry are leading consumers to explore alternative methods such as consumer-driven healthcare (CDH) to meet their medical needs. Estimates suggest that this trend is poised to gain popularity, with around 2.5 million to 4.5 million individuals expected to be covered under a CDH plan by 2005. As patients assume greater responsibility for their medical care, they are likely to be more diligent in evaluating the quality of service, efficiency and costs regarding their providers. The growing range of options for the consumer makes it absolutely imperative for hospitals to deliver high-quality healthcare in a customer-focused manner.
To improve efficiency at the front end, many hospitals are likely to adopt patient scheduling solutions for a completely automated process involving registration, pre-registration, coverage determination for procedures, and the efficient and timely allocation of resources, says the analyst. Facilities and patients can, therefore, benefit from reduced wait times, decrease in no-shows, and quicker turnaround of patient arrival and departure.
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