TractManager Thanks Healthcare’s Unsung Heroes in Revenue Cycle and Medical Staff Offices

During this month of thanks, TractManager spotlights the behind-the-scenes work of healthcare’s Revenue Cycle Departments and Medical Staff Offices.

At TractManager, we’re focused on optimizing the business of healthcare. As part of our mission we want to honor and thank the “unsung heroes” of healthcare—the folks who work behind the scenes to keep healthcare organizations up and running. These are the people whose efforts support the day-to-day operations of a healthcare organization, so its clinicians can focus on providing exceptional care to patients.

This November, we’re taking the entire month to celebrate these unsung heroes— those who tirelessly enable hospitals, large and small, to function at peak performance. This week, we’d like to highlight those individuals who work in revenue cycle and medical staff offices.

To meet their ultimate goal of providing exceptional patient care, healthcare organizations need excellent medical staff, the best equipment they can afford, and high-quality supplies. As everybody knows, this all costs money. The goal of healthcare revenue cycle management is to develop processes that helps organizations get paid the full amount for services as quickly as possible. Without their tireless efforts to pursue reimbursement for the hospitals and its providers, hospitals would simply run out of money.

From the moment a patient makes an appointment with a staff member, all the way to the time the payer provides payment or disputes a claim, the revenue cycle department is engaged. Administrative staff schedule appointments, verify insurance eligibility, and create patient accounts. If for some reason a claim is denied, revenue cycle managers edit the claims or reach out to the patient to obtain payments.

Meanwhile, the Medical Staff Office acts as a liaison between the medical staff and administration, ensuring that physicians who treat those patients are properly credentialed and privileged in accordance with state, federal, regulatory body, and hospital bylaws. Medical staff officers also perform annual reviews of the medical staff bylaws, rules and regulations, and of intradepartmental policies and procedures.

The Medical Staff Office serves as an integral part of the hospital performance program by monitoring important aspects of services, to include timeliness and accuracy of work performed.

Simply put, the medical staff office ensures that physicians are qualified to provide care, while the revenue cycle department ensures that the provider and the organization are paid for doing so. Because of important roles that these key members of every healthcare organization play, providers can focus on what they do best—deliver quality patient care.

Our goal at TractManager is to empower these unsung heroes who make healthcare organizations run by providing them insights and technology to make smarter decisions. From improved sourcing decisions, to compliant contract lifecycle management, to provider management, we help these people run their healthcare organizations at peak efficiency. And for this month of thanks, we want to make sure everyone understands just how important revenue cycle and medical staff officers are to the healthcare industry.


Staff Writer

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