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Ambulatory Revenue Cycle Management Services 2023
Exploring Provider Perceptions of Outsourcing amid Mounting Pressures
Author
Mollie Hunt
Author
Alex McIntosh
Author
Andy Paulsen
Ambulatory provider organizations are feeling heightened reimbursement pressure due to continually changing payer claims requirements, shrinking allowable charges, and increased patient financial responsibilities. On top of those external challenges, organizations are also seeing stricter staffing budgets and difficulties recruiting qualified employees. Many clinical leaders are outsourcing multiple revenue cycle responsibilities to combat these challenges, lower staffing expenses, and entrust their financial health to industry experts. For this report, KLAS talked to 61 primary and specialty care clinics to examine perceptions of outsourced revenue cycle management (RCM) services and what deficiencies still exist in the market.
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Key Findings:
- Provider Organizations Struggling to Manage Changing Authorization Requirements and Lower Allowable Charges
- Staff Recruiting and Retention Difficulties Increase Need for Outsourcing
- Provider Organizations Want Firms That Are Accessible, Transparent, and Invested in Their Success
- Overall Perception of Offshore Support Is Generally Negative; Provider Organizations Want Firms Who Understand Specialties and Local Regulations
Writer
Carlisa Cramer
Designer
Bronson Allgood
Project Manager
Andrew Wright
This material is copyrighted. Any organization gaining unauthorized access to this report will be liable to compensate KLAS for the full retail price. Please see the KLAS DATA USE POLICY for information regarding use of this report. © 2024 KLAS Research, LLC. All Rights Reserved. NOTE: Performance scores may change significantly when including newly interviewed provider organizations, especially when added to a smaller sample size like in emerging markets with a small number of live clients. The findings presented are not meant to be conclusive data for an entire client base.