RCM Knowledge Hub

Your expert resource for insights, best practices, and trends in Revenue Cycle Management.

Featured Insights

Hand-picked articles on the most pressing topics in healthcare finance.

AI & Automation

Generative AI in RCM: Moving from Task Automation to Strategic Forecasting

An in-depth analysis from McKinsey's Healthcare Practice on how leading systems are leveraging generative AI for predictive modeling of revenue streams, denial prevention, and payer contract negotiations.

Financial Strategy

The True Cost of Denials: A 2025 HFMA Report on Hidden Financial Drains

A comprehensive report from the Healthcare Financial Management Association (HFMA) that uncovers the indirect costs of claim denials, including administrative waste, clinical delays, and the downstream impact on patient satisfaction.

Patient Experience

Price Transparency and Patient Trust: How Leading Systems are Getting it Right

Case studies from RevCycleIntelligence on how top-performing health systems are using advanced price transparency tools to build patient trust, streamline pre-service collections, and comply with new regulations.

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Financial & Billing Data

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Resource Library

Use the filters and search to find articles, guides, and updates on any RCM topic.

AI & Automation

Generative AI in RCM: Moving from Task Automation to Strategic Forecasting

An in-depth analysis from McKinsey's Healthcare Practice on how leading systems are leveraging generative AI for predictive modeling of revenue streams, denial prevention, and payer contract negotiations.

Financial Strategy

The True Cost of Denials: A 2025 HFMA Report on Hidden Financial Drains

A comprehensive report from the Healthcare Financial Management Association (HFMA) that uncovers the indirect costs of claim denials, including administrative waste, clinical delays, and the downstream impact on patient satisfaction.

Patient Experience

Price Transparency and Patient Trust: How Leading Systems are Getting it Right

Case studies from RevCycleIntelligence on how top-performing health systems are using advanced price transparency tools to build patient trust, streamline pre-service collections, and comply with new regulations.

Financial Performance

KPI Deep Dive: Measuring and Improving Your Clean Claim Rate

A practical guide to understanding, calculating, and improving your Clean Claim Rate (CCR). Learn proven strategies to get claims paid on first submission and accelerate cash flow.

AI & Automation

Automating Prior Authorizations: The End of Fax Machines?

Explore how AI-powered solutions are automating the burdensome prior authorization process, reducing administrative waste and preventing care delays.

Billing & Coding

Best Practices for Surgical CPT Coding in an Outpatient Setting

Avoid common pitfalls and ensure accurate reimbursement with this guide to complex surgical coding, including modifiers and bundling rules.

Regulatory & Compliance

The No Surprises Act: A 2025 Retrospective and What's Next for Providers

Two years on, we analyze the impact of the No Surprises Act on provider billing practices and patient satisfaction, and look at upcoming regulatory adjustments.

Financial Performance

Optimizing Patient Collections with a Human-Centered Approach

Discover how empathy, clear communication, and flexible payment options can significantly increase patient self-pay collections and enhance patient loyalty.

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