Common Obstacles to Revenue Cycle Management for Hospitals

Maria James

Hospitals are meant to be places where you may relax and recover while receiving the care and treatment you need to get better. Although this is generally the case, a surprising proportion of Americans really experience deterioration.

Johns Hopkins University conducted a study that found that medical errors are now the third leading cause of death in the country. The agency collected data on medical mortality for more than eight years, and the results showed that over 250,000 deaths, or a startling 10% of all deaths nationwide, were brought on by medical mistakes.

But what are some of the most typical reasons for hospital medical billing professional fatalities? The startling ways a medical facility can fail to provide for your healthcare are listed below.

Charting Mistakes

Although paperwork and documentation are frequently viewed as unpleasant aspects of healthcare, each file has an important function. One error in your patient chart or medical data can have perplexing results.

One woman’s medical record, for instance, claimed she had given birth twice despite never having been pregnant. Even while the majority of these errors are harmless and have little bearing on long-term healthcare, it is easy to understand how they could result in catastrophes.

Without trustworthy electronic medical data, you can be prescribed a drug that you’re allergic to or get a wrong diagnosis of a different illness. If medical records aren’t combined in an electronic format, correcting them can also be challenging. When you should be getting therapy, you can wind up wasting your time trying to fix medical mistakes.

Infections Acquired in Hospitals

Medical staff must constantly sterilize their surroundings and be watchful to prevent cross-contamination in hospitals because sick individuals frequent them. However, unfavorable conditions can cause patients to contract HAIs, or hospital-acquired infections. These speak of catching illnesses while receiving treatment in a hospital. Pneumonia, infections at the sites of recent surgery, and urinary tract infections are common types of HAIs.

If you have a hospital roommate who already has a HAI, have spent too much time in the intensive care unit, or have a pre-existing condition that has weakened your immune system, you are more likely to contract a HAI. There is a one in ten chance that you will acquire a HAI if your hospital is not attentive.

Doctors not Communicating Effectively

You would have likely spent the most of your life relying on one doctor a few decades ago. However, unless you reside in a tiny town, it’s doubtful that you still have a single doctor who is well-versed in your medical needs. Now once you check yourself in, you’re probably at the mercy of whichever doctor is available.

The absence of direct communication between attending doctors, particularly if you’re receiving care from various hospitals, increases the likelihood that mistakes will be made. One doctor may wind up requesting repeated testing or even unneeded procedures if they don’t have access to a trustworthy medical or health record to refer to.

There may be a misunderstanding between the on-call nurse and your doctor, which could result in you receiving the wrong drug or the wrong dosage.


Today’s medical experts can rely on cutting-edge technology to validate their diagnosis. With more consistency than ever, contemporary imaging technologies can capture detailed images of your whole body. That does not negate the possibility of medical errors.

Experts estimate that between 40,000 and 80,000 Americans per year pass away in the United States as a result of misdiagnosis.

Doctors can make mistakes just like everyone else because they are only human. They can end up diagnosing patients with fatal or life-altering conditions when they just have minor symptoms. Even worse, they can dismiss the warning signs of a fatal sickness, and you might wind up ignoring a condition and allowing it to worsen. Because of this, always seek a second opinion when in doubt.

Never Occurs

Everyone has heard horror stories about hospitals: horrifying events that happened during surgery, pointless medical procedures, and so forth. These situations are known as “never occurrences” by medical practitioners since they are never supposed to occur but frequently do.

Approximately 4,000 procedures in the US result in never events. A 20-year study found that 71% of such occurrences result in the patient being taken to the morgue.

The most frequent kind of never event is when medical professionals accidentally leave a foreign object inside a patient while performing surgery. Surgical clips, sponges, and even medical tools can be included in this category. Or they might do the wrong procedure or the wrong operation on the wrong part of the body. The worst-case scenario is when they accidentally cut open the wrong patient. You can only avoid these kinds of occurrences by being vigilant and following strict rules.

Knowing that mistakes like this can happen in a hospital enables you to be cautious and picky about your medical treatment. When you meet a health care expert, you are more equipped to ask questions and make wise decisions if you have the correct knowledge.

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