Health plan rules are constantly changing; claims may be denied for myriad reasons; benefits often change as employers seek to cut costs; and it is increasingly difficult to collect money from patients, who now pay more of the bill than ever. To overcome these challenges, leading medical groups are taking advantage of a new generation of revenue cycle management (RCM) solutions that help to correct the balance of power between payers and providers. These solutions increase automation, streamline workflow, raise clean claims percentages, and speed payments.

This paper examines the “Four Steps to Transformation,” a methodology that represents best practices from thousands of medical groups across the US