Adapting Health Revenue Cycle Management Best Practices among Public or Private Healthcare providers in Saudi Arabia: A Pilot Study

Abstract

The literature lacks evidence of scoring systems in health revenue cycle management (HRCM) assessment in Saudi Arabia. We established a gap analysis scoring system to classify healthcare providers' HRCM readiness. This pilot study aimed to assess the rate of adapting health revenue cycle management best practices among public or private healthcare providers in Saudi Arabia. This pilot study included ten healthcare providers in Saudi Arabia. The providers were assessed during the period from August 2022 to May 2023. HRCM components were assessed are contract management, pre-service, time-of-service, and post-service. Contract management and pre-service assessment found that all of the healthcare providers had missed some or most of sub-major functions. For Time-of-service, all healthcare providers required comprehensive gap analysis, and establishment of policies and procedures. Post-service was assessed in seven healthcare providers while absent in three. All healthcare providers required training and activation of reporting protocol and KPIs. Overall assessment revealed that one HCP had a low classification, seven had a moderate classification, and two had a high classification. All healthcare providers have a part that can be enhanced by training, comprehensive gap analysis, policies and procedures, ongoing monitoring, patient satisfaction research and developing health information systems.