Healthcare revenue cycle management (RCM) is the financial process that facilities management of the
administrative and clinical functions associated with medical claims processing, payment, and accounts
receivable follow up. Without this key financial process, healthcare organizations cannot keep their
doors
open to treat patients. US healthcare constitutes of three entities, namely, patients, providers, and
payers. Providers are hospitals, clinics, and practices where physicians, surgeons, nurses etc. work to
provide healthcare to patients. Payers are insurance companies which collect premiums from patients as
their
members and pay healthcare providers treating their members.