RCM Pricing: Low Rate Clients – Are They Even Profitable? The revenue cycle management industry shows remarkable variation when it comes to RCM pricing. I’ve observed dramatic differences—easily double or more—between competing vendors and even within the same company’s client portfolio. This pricing inconsistency raises an important question: Are low-priced RCM clients actually profitable for […]
HBMA Webinar – “Building an RCM Technology Powerhouse: Starting with Denials” There is so much opportunity in RCM technology…You could set up interfaces to get data from your clients, build a practice management system for billing, create a killer analytics platform, or even develop an AI solution. Excited to announce my upcoming webinar for the […]
In our last podcast, we discussed revenue cycle management (RCM) departments or companies that operate like body shops, impacting overall RCM performance. This applies whether they are in-house departments or external RCM companies, and it isn’t directly related to pricing, although we did suggest some ways this could manifest. Body shops are organizations that throw […]
Body shops in RCM are a subject that I’m very interested in and something I’ve seen not change tremendously, unfortunately, in revenue cycle management over the course of the last few decades. I can’t say I know the complete history of the origins and the early stages of the revenue cycle management industry. In fact, […]
I’m constantly impressed by how bad the data is in healthcare IT systems. We’re encountering one of these clinix data integrity issues again today, and they seem to pop up all over the place. You could consider these to be metadata issues, but in reality, they are data integrity issues. For example, there are some […]
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