# Revenue Cycle Management * **Definition:** The financial process that healthcare organizations use to track patient care episodes from registration and appointment scheduling to the final payment of a balance. * **Taxonomy:** Healthcare Topics / Revenue Cycle Management ## News * Selected news on the topic of **Revenue Cycle Management**, for healthcare technology leaders * 8.1K news items are in the system for this topic * Posts have been filtered for tech and healthcare-related keywords | Date | Title | Source | | --- | --- | --- | | 5/19/2025 | [**HIMSS CIO Connect brings support through shared knowledge - Healthcare Finance News**](https://www.healthcarefinancenews.com/video/himss-cio-connect-brings-support-through-shared-knowledge) | [[Healthcare Finance]] | | 5/19/2025 | [**Smarter Technologies Launches AI-Driven Platform to Tackle Hospital RCM Inefficiencies**](https://hitconsultant.net/2025/05/19/smarter-technologies-launches-ai-driven-platform/) | [[HIT Consultant]] | | 5/17/2025 | [**Weekly Roundup - May 17, 2025 - Healthcare IT Today**](https://www.healthcareittoday.com/2025/05/17/weekly-roundup-may-17-2025/) | [[Healthcare IT Today]] | | 5/8/2025 | [**Infinx Acquires i3 Verticals' Healthcare Revenue Cycle Management Business**](https://hitconsultant.net/2025/05/08/infinx-acquires-i3-verticals-healthcare-revenue-cycle-management-business/) | [[HIT Consultant]] | | 4/23/2025 | [**ECU Health taps Force Therapeutics for care automation**](https://www.beckershospitalreview.com/care-coordination/ecu-health-taps-force-therapeutics-for-care-automation/) | [[Beckers Hospital Review]] | | 4/8/2025 | [**Healthcare Mly Update: Q1 2025**](https://www.beckershospitalreview.com/strategy/healthcare-ma-quarterly-update-q1-2025/) | [[Beckers Hospital Review]] | | 4/7/2025 | [**ScribeEMR: Revolutionizing Healthcare Through Innovative Solutions**](https://www.beckershospitalreview.com/innovation/scribeemr-revolutionizing-healthcare-through-innovative-solutions/) | [[Beckers Hospital Review]] | | 3/26/2025 | [**The U.S. Revenue Cycle Management Market Surges to $272.78 Billion by 2030, Multi-Billion Opportunity Projected in the Coming Years - Arizton**](https://www.theglobeandmail.com/investing/markets/markets-news/GetNews/31597241/the-us-revenue-cycle-management-market-surges-to-27278-billion-by-2030-multi-billion-opportunity-projected-in-the-coming-years-arizton/) | [[The Globe and Mail]] | | 3/20/2025 | [**Healthcare Revenue Cycle Management Market Size to Hit USD 372.16 Billion by 2032 ...**](https://finance.yahoo.com/news/healthcare-revenue-cycle-management-market-140000551.html) | [[Yahoo Finance]] | | 3/19/2025 | [**Revenue Cycle Management Archives - Page 13 of 56 - Healthcare News & Analysis**](https://www.beckershospitalreview.com/newsletter-category/becker-s-revenue-cycle-e-weekly/page/13/) | [[Beckers Hospital Review]] | | 2/14/2025 | [**Healthcare Revenue Cycle Management Software Market to grow by USD 54.95 Billion from 2025 to 2029, Driven by need to reduce revenue leakage, AI impact - Technavio**](https://www.prnewswire.com/news-releases/healthcare-revenue-cycle-management-software-market-to-grow-by-usd-54-95-billion-from-2025-to-2029--driven-by-need-to-reduce-revenue-leakage-ai-impact--technavio-302376648.html) | [[PR Newswire]] | | 1/23/2025 | [**The Middle East's Rapid Ascent in Digital Health Innovation: A Global Benchmark ... - Newswire.com**](https://www.newswire.com/news/the-middle-easts-rapid-ascent-in-digital-health-innovation-a-global-22506988) | [[Newswire]] | | 1/9/2025 | [**$715 Bn Ambulatory Surgery Centers IT Services Market Analysis - Global Forecasts 2025-2030**](https://finance.yahoo.com/news/715-bn-ambulatory-surgery-centers-144300767.html) | [[Yahoo Finance]] | | 1/8/2025 | [**Multi Billion Opportunity Predicted in the U.S Revenue Cycle Management Market - $272.78 Bn Worth Market by 2030 - Arizton**](https://www.theglobeandmail.com/investing/markets/markets-news/GetNews/30359652/multi-billion-opportunity-predicted-in-the-us-revenue-cycle-management-market-27278-bn-worth-market-by-2030-arizton/) | [[The Globe and Mail]] | | 1/2/2025 | [**TruBridge Names Merideth Wilson as Financial Health General Manager - Yahoo Finance**](https://finance.yahoo.com/news/trubridge-names-merideth-wilson-financial-170000251.html) | [[Yahoo Finance]] | | 12/13/2024 | [**Healthcare Revenue Cycle Management (RCM) Market Surges to USD 658.7 Billion by ...**](https://finance.yahoo.com/news/healthcare-revenue-cycle-management-rcm-151500880.html) | [[Yahoo Finance]] | | 12/13/2024 | [**Healthcare Revenue Cycle Management (RCM) Market Surges to USD 658.7 ... - PR Newswire**](https://www.prnewswire.com/news-releases/healthcare-revenue-cycle-management-rcm-market-surges-to-usd-658-7-billion-by-2030--propelled-by-24-cagr---verified-market-reports-302331323.html) | [[PR Newswire]] | | 10/2/2024 | [**Healthcare Revenue Cycle Management Market Size to Achieve USD 453.47 Bn by 2034**](https://finance.yahoo.com/news/healthcare-revenue-cycle-management-market-150000843.html) | [[Yahoo Finance]] | | 9/16/2024 | [**CureMD Partners with Stitch to Enhance HR and Payroll Solutions for Healthcare Providers**](https://tech.einnews.com/pr_news/743010798/curemd-partners-with-stitch-to-enhance-hr-and-payroll-solutions-for-healthcare-providers) | tech.einnews.com | | 9/12/2024 | [**AGS Health Earns Great Place To Work Certification(TM) - AccessWire**](https://www.accesswire.com/916778/ags-health-earns-great-place-to-work-certificationtm) | accesswire.com | | 9/8/2024 | [**EQT to buy GeBBS Healthcare Solutions to expand in healthcare tech**](https://www.business-standard.com/companies/news/eqt-to-buy-gebbs-healthcare-solutions-to-expand-in-healthcare-tech-124090900421_1.html) | business-standard.com | | 8/30/2024 | [**Revenue Cycle Management Market to Witness 11.10AGR by 2031 on Increased ... - EIN News**](https://tech.einnews.com/pr_news/739507524/revenue-cycle-management-market-to-witness-11-10-cagr-by-2031-on-increased-adoption-of-electronic-medical-records) | tech.einnews.com | | 8/13/2024 | [**Healthcare Revenue Cycle Management Market to Expand: Detailed Market Size and ... - WhaTech**](https://www.whatech.com/og/markets-research/medical/866389-healthcare-revenue-cycle-management-market-to-expand-detailed-market-size-and-growth-insights.html) | whatech.com | | 7/3/2024 | [**Healthcare Revenue Cycle Management Market Advancements Highlighted by Trend ... - WhaTech**](https://www.whatech.com/og/markets-research/it/851632-healthcare-revenue-cycle-management-market-trend-forecast-till-2032) | whatech.com | | 7/3/2024 | [**Healthcare IT Market Poised for Explosive Growth, Projected to Reach $1.83 Trillion by 2031**](https://www.whatech.com/og/markets-research/medical/851706-healthcare-it-market-poised-for-explosive-growth-projected-to-reach-1-83-trillion-by-2031) | whatech.com | ## Topic Overview (Some LLM-derived content — please confirm with above primary sources) ### Key Players - **Omega Healthcare**: Recognized leader in Revenue Cycle Management (RCM) operations, known for its extensive experience and technology investments to improve financial performance. - **Oracle**: Engages in enhancing operational efficiencies in the healthcare sector, particularly in revenue cycle management. - **CorroHealth**: A leader in revenue cycle management consultancy and technology, recently acquiring Xtend healthcare's RCM business. - **GE Healthcare**: Provides medical technologies and services, including revenue cycle management solutions. - **Parathon by JDA eHealth Systems**: Offers proprietary revenue cycle management technologies to enhance financial viability for healthcare organizations. - **FinThrive, Inc.**: A healthcare revenue cycle management SaaS provider focused on improving efficiency and resiliency across the revenue cycle through intelligent revenue management solutions. - **TruBridge**: Offers comprehensive revenue cycle management solutions, recognized for effectiveness and quality through HFMA peer review. - **Coronis Health**: A company recognized for its expertise in revenue cycle management solutions, offering services like coding, billing, and denial management. - **MedHQ**: Expanded its RCM capabilities through the acquisition of Trajectory Revenue Cycle Services, enhancing service quality for healthcare clients. - **CareCloud, Inc.**: Provides cloud-based healthcare solutions, including revenue cycle management, to improve operational efficiency for medical groups. - **Cerner Corporation**: Offers health information technology solutions, including revenue cycle management services. - **Ensemble**: Selected by Mary Washington Healthcare to enhance financial performance and patient experiences through improved revenue cycle management. - **Assembly Health**: A company enhancing revenue cycle management through advanced technology and appointing experienced executives to drive growth. - **Epic Systems Corporation**: Develops software for healthcare organizations, including revenue cycle management functionalities. - **Adonis**: Healthcare revenue cycle intelligence and automation company utilizing machine learning and AI to enhance revenue cycle technology. - **Provana**: Provider of tech-enabled end-to-end revenue cycle management solutions, focusing on specialty practices and leveraging advanced analytics. - **Availity**: A provider of revenue cycle management solutions, including AI-enabled tools for claims processing and payment management. - **FinThrive**: A technology partner chosen by the Pennsylvania Mountain Healthcare Alliance for end-to-end revenue cycle management. ### Partnerships and Collaborations - **Infinx**: Launched an Intelligent Revenue Cycle Automation Platform to address challenges in healthcare revenue cycle management. - **Sanford Health and Availity**: Partnership to implement a revenue cycle management solution that simplifies claims and payment processing. - **Jorie AI and CHAMPS Group Purchasing**: Jorie AI partnered with CHAMPS to provide customized automation and AI-driven revenue cycle management solutions. - **Careviso and XiFin**: A strategic alliance aimed at enhancing operational efficiencies for diagnostic laboratories through the integration of prior authorization services and RCM solutions. - **Pennsylvania Mountain Healthcare Alliance and FinThrive**: Collaboration for implementing FinThrive's revenue management system across 13 hospitals. - **Waterlabs AI**: Collaboration with industry innovators to discuss AI's role in revenue cycle management and distinguish genuine innovations from basic automation. - **Commure and HealthTap**: A strategic partnership to create a unified healthcare solution that integrates in-person and virtual care, streamlining revenue cycle management. - **GenieMD and Value Services Management Group**: Partnership to improve virtual care and chronic care management for the Sunflower ACO network, enhancing care coordination for Medicare beneficiaries. - **Aspirion and Boost Healthcare**: Aspirion's acquisition of Boost Healthcare aims to strengthen reimbursement recovery efforts and expand RCM service offerings. - **Maverick Medical AI, NewVue.ai, and RADPAIR**: A partnership aimed at enhancing radiology workflows and revenue cycle management through integrated AI solutions. - **ECU Health and Force Therapeutics**: This partnership aims to automate care delivery processes and enhance patient engagement through a platform that collects CMS-mandated data. - **Medusind and Tebra**: A strategic affiliation where Medusind becomes a certified reseller of Tebra's EHR and patient experience solutions, enhancing revenue cycle management services. - **3Gen Consulting and Piramal Alternatives**: 3Gen Consulting received a strategic investment to enhance its growth and leadership in healthcare consulting and RCM services. - **XpertDox and Nao Medical**: Collaboration to integrate AI coding software into Nao Medical's RCM operations, resulting in improved charge capture and reduced claim denials. - **Clinical Architecture and 4medica**: Partnered to provide a harmonized longitudinal care record solution to enhance data quality and interoperability. - **athenahealth and SoNE HEALTH**: SoNE HEALTH will implement athenaOne to improve care coordination and streamline revenue cycle management. - **UPMC and McKinsey & Company**: UPMC collaborates with McKinsey for guidance during a restructuring initiative that includes employee layoffs. - **Netsmart and Arisa Health**: Partnership to implement the CareFabric platform, improving operational efficiencies and patient care across northern Arkansas. ### Innovations, Trends, and Initiatives - **Revenue Cycle Management Technology Adoption Model (RCMTAM)**: A framework developed to evaluate operational performance and maturity of revenue cycle technology in healthcare organizations, facilitating tailored modernization strategies. - **Automation in Revenue Cycle Management**: Healthcare organizations are increasingly adopting automation tools to improve collection rates and reduce denial rates, addressing financial stability challenges. - **Value-Based Care Reimbursement Models**: A shift towards value-based care is influencing revenue cycle management practices. - **Leadership Changes**: Healthcare organizations are appointing experienced leaders in revenue cycle management to enhance financial operations and adapt to changing reimbursement policies. - **Integration with Telehealth Platforms**: Revenue cycle management systems are being integrated with telehealth platforms to streamline billing processes. - **AI in RCM**: Healthcare organizations are increasingly adopting AI and automation technologies to improve efficiency and reduce administrative burdens in revenue cycle management. - **Automation and AI Adoption**: The revenue cycle management market is increasingly adopting automation and AI to enhance efficiency and reduce costs. - **Value-Based Care**: The shift towards value-based care is driving demand for sophisticated RCM solutions. - **Post-Cycle RCM Growth**: The post-cycle segment is projected to grow significantly due to automation and AI technologies that enhance reimbursement rates and reduce claim denials. - **FinThrive's RCMTAM**: FinThrive presents the Revenue Cycle Management Technology Adoption Model at HFMA 2024 to help leaders modernize technology. - **AI and Automation in RCM**: Increasing adoption of AI tools to enhance efficiency, compliance, and address challenges posed by payer strategies in revenue cycle management. - **Cloud-based RCM Solutions**: Increasingly popular due to their cost-effectiveness, scalability, and enhanced security, allowing healthcare organizations to improve efficiency and interoperability. - **Generative AI**: Positioned as a future solution for simplifying complex revenue cycle tasks and improving patient experience. - **AI in Revenue Cycle Management**: AI agents are increasingly used to enhance efficiency and reduce costs, with hospitals reporting productivity improvements of 15-30%. - **Predictive Analytics**: Integration of data analytics and business intelligence tools is transforming RCM from reactive to proactive, enabling better financial management. - **Healthcare IT Growth**: The U.S. RCM market is projected to grow significantly, driven by complexities in healthcare billing, evolving regulations, and the rise of high-deductible health plans. - **Value-Based Care Shift**: The transition to value-based care is prompting a fundamental shift in RCM practices, focusing on patient outcomes and quality. ### Challenges and Concerns - **Complexity in Billing Procedures**: The increasing complexity of billing procedures poses challenges for effective revenue cycle management. - **Staffing and Security**: Concerns regarding the need for skilled workforce development and robust system security in revenue cycle management. - **Staffing Shortages**: Outdated technology and workforce shortages hinder effective revenue cycle management, necessitating modernization strategies. - **Cybersecurity Risks**: Increased ransomware attacks and cybersecurity threats pose significant risks to revenue cycle management processes. - **Regulatory Compliance**: Stringent regulatory requirements and rising healthcare costs pressure providers to adopt efficient RCM solutions. - **Cybersecurity Threats**: Recent cyberattacks, such as the one on Change Healthcare, have highlighted vulnerabilities in revenue cycle management and the need for robust cybersecurity measures. - **Interoperability Issues**: Challenges in integrating various healthcare systems and ensuring seamless data exchange remain a concern for RCM solutions. - **Financial Oversight**: Concerns about financial oversight in healthcare organizations are highlighted by incidents of embezzlement and vulnerabilities in revenue cycle management. - **Financial Limitations**: Healthcare organizations face financial constraints that hinder the adoption of advanced technologies in RCM. - **Integration Complexity**: The complexity of integrating new RCM systems with existing infrastructure poses challenges for healthcare organizations. - **Labor Shortages**: Identified as a major stressor in the revenue cycle workforce, leading to operational issues. - **Implementation Costs**: High implementation costs and data privacy concerns are significant barriers to adopting advanced RCM solutions. - **Claims Denial Rates**: 41% of hospital executives face claims denial rates exceeding 3.1%, complicating RCM operations. - **Rising Claim Denials**: Healthcare organizations face increasing claim denials, leading to significant revenue loss and necessitating proactive denial management strategies. - **Reimbursement Policy Adjustments**: Ongoing adjustments in healthcare reimbursement policies are creating uncertainty and necessitating strategic responses from healthcare organizations. ## Related Topics [[AI in Revenue Cycle Management]]