RCM SERVICES
Is Your RCM Partner Actually Performing?
Outsourcing revenue-cycle work does not eliminate the need for oversight. RCM Advisory Group helps healthcare organizations independently evaluate whether an outsourced billing or RCM partner is delivering the financial, operational, technology, and reporting performance the organization expected.
01
Why Outsourced RCM Matters
Vendor reports can show activity without answering the most important question: is the revenue cycle performing as well as it should? Collections, denials, A/R aging, underpayments, service levels, staffing, technology, and reporting all need context.
02
What We Evaluate
RCM Advisory Group evaluates the workflows, data, technology, vendors, and accountability surrounding outsourced rcm. The objective is to understand what is happening today before recommending a change.
- Collections and net collection performance
- Denial rates and root causes
- Days in A/R and aging
- Underpayment identification
- Staffing and follow-up workflows
- Reporting quality and KPI reliability
- Technology and integrations
- Contract expectations and service levels
03
From Findings to Action
We do not begin with the assumption that outsourcing—or changing vendors—is the answer. We begin with the numbers. If the existing partner can improve, we help define accountability. If change is warranted, we can help evaluate and select alternatives. We may recommend improving the current operation, changing workflow or technology, strengthening vendor accountability, or evaluating a different partner. The recommendation should follow the evidence—not a predetermined solution.
Next step
Start With the Numbers
Understand where performance is breaking down, what it may be costing your organization, and what should happen next.