In 2025, the industry benchmark for Days in A/R remains around 30–50 days, with top-performing practices achieving under 30 days. Anything above 50 days signals cash-flow issues, payer delays, or rising denials. Keeping Days in A/R low helps stabilize revenue, ...
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A hybrid RCM outsourcing model lets healthcare practices keep certain tasks in-house—like coding or patient communication—while outsourcing complex functions such as billing, denials, or analytics. In contrast, a full RCM outsourcing model hands over the entire revenue cycle to ...
Small practices can reach a 95%+ clean claim rate by using automated billing tools, verifying patient data, accurate coding, and regular audits. Efficient workflows matter more than large teams for faster, denial-free reimbursements.
The No Surprises Act promotes billing transparency, requiring RCM teams to update workflows, ensure accurate estimates, and prevent unexpected patient charges—boosting compliance and trust.
Blockchain technology is transforming the future of Revenue Cycle Management (RCM) by bringing greater security, transparency, and efficiency to healthcare claims. With blockchain, providers and payers can share verified data in real time, reducing errors, fraud, and claim denials. ...
Investing in a modern Revenue Cycle Management (RCM) software can significantly boost your financial performance. With automation, real-time analytics, and streamlined workflows, practices see faster reimbursements, reduced denials, and improved cash flow.
Bridging the gap between clinical staff and the billing team ensures accurate coding, fewer denials, and faster reimbursements. Clear communication, training, and integrated systems boost efficiency and revenue.
The shift to value-based care is reshaping RCM from volume-focused billing to quality-driven performance. Practices now rely on data analytics, automation, and care coordination to link reimbursements with outcomes, efficiency, and patient satisfaction.
Long-term staffing shortages in in-house RCM teams lead to burnout, billing errors, and delayed reimbursements, causing revenue loss and compliance risks. Over time, efficiency drops, denials rise, and adapting to new RCM technologies becomes harder prompting many hospitals to ...
Manage patient hardship requests with empathy and fairness by verifying financial need, offering flexible payment options, and applying consistent policies. This approach supports patients while maintaining a balanced and ethical financial system.