Improve Profitability: Medical Billing Sales Contracts and SOWs There’s a critical aspect of the marketing and sales process that’s rarely discussed in the medical billing industry but has significant implications for operations and profitability. When securing new clients, many billing companies fail to clearly define what their services actually include. This oversight in medical billing […]
Specific Medical Billing KPIs You Should Use Should you use the medical billing KPIs recommended by industry organizations like MGMA, HFMA, or HBMA? Should you follow consultants’ advice or benchmark against other billing companies? The answer is surprisingly simple: no, you shouldn’t. Why Traditional Medical Billing KPIs Fall Short Most commonly recommended medical billing KPIs […]
RCM Acquisition Metrics Mergers and acquisitions activity in the revenue cycle management (RCM) space remains robust, with private equity firms and strategic buyers constantly evaluating potential targets. As someone who regularly works with PE groups and RCM companies pursuing growth through acquisition, I’m frequently asked about the most important RCM acquisition metrics to consider during […]
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 […]