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Non-Fee-for-Service Revenue Cycle Management: Managing Patient Service and Clinical Performance to Maximize Healthcare Practice Profit By Ronald B. Sterling, CPA, MBA As the healthcare system migrates from the fee for service (FFS) model to a variety of non-fee for service (non-FFS) payment systems, practices/HCOs will be seeking strategies and tactics to fill the care gaps that exist because of the fee for service model. From more active patient engagement to establishing and maintaining collaborative patient and provider relations, practices/HCOs need to rethink their own added value strategies and how to best serve healthcare stakeholders including patients, patient caregivers, physicians and other providers. Consequentially, practices/HCOs will need to modify a variety of processes, strategies, and tools. Using existing FFS focused tactics could inhibit the ability to analyze clinical and/or financial performance.2017From managing services that generate revenue to the billing process and tracking clinical and business performance, the non-FFS models present resource, patient service, billing, and reporting challenges. In today's high-stakes healthcare practice business climate, physician leaders and healthcare organization will need to answer the following questions: What are the clinical and operational requirements to earn the non-FFS revenue? How will the practice/HCO track clinical performance and patient service that could impact non-FFS revenue? What are the cos...

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