Revenue Cycle Management (RCM) Operations

In 2023, US healthcare providers faced formidable challenges. Although patient volumes have started to recover, increased labor expense and talent shortage caused administrative burdens and workflow issues to become more pronounced. Despite slight improvements in hospital margins, denial rates continue to increase, putting pressure on revenue cycle performance and financial stability. Furthermore, being able to access and leverage clean data has become critical given medical coding’s rising complexity and the dynamic regulatory environment.

Additionally, the increase in patient responsibility has underscored third-party Revenue Cycle Management (RCM) service providers’ need to provide effective support. As healthcare providers strive to future-proof their revenue cycle operations, the focus remains on enhancing efficiency and mitigating current obstacles. Service providers are responding by scaling their talent pools, enhancing their technology portfolios with automation and analytics, and pursuing mergers and acquisitions to deepen their value chain coverage and remain competitive in the dynamic revenue cycle market.

  • Revenue Cycle Management (RCM) Operations PEAK Matrix® Assessment 2024

    Revenue Cycle Management (RCM) Operations

    What is in this PEAK Matrix® Report

    In this report, we assess 29 providers featured on the RCM Operations PEAK Matrix® Assessment 2024. Each profile offers a comprehensive picture of the provider’s service focus through a snapshot of its key strengths and limitations.

    Scope:

    • Industry: healthcare
    • Geography: global

    Content:

    In this report, we examine:

    • The RCM Operations PEAK Matrix® Assessment 2024
    • Key insights into PEAK Matrix® dimensions
    • The RCM business process services provider landscape
    • Providers’ key strengths, limitations, capabilities, and market shares
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  • Revenue Cycle Management (RCM) Operations PEAK Matrix® Assessment 2023

    RCM Peak

    What is in this PEAK Matrix® Report

    In this report, we assess 31 providers featured on the Revenue Cycle Management (RCM) Operations PEAK Matrix® Assessment 2023. Each profile offers a comprehensive picture of the provider’s service focus through a snapshot of its key strengths and limitations.

    Content:

    In this report, we examine:

    • The RCM Operations PEAK Matrix® Assessment 2023
    • Key insights into PEAK Matrix® dimensions
    • The RCM BPS provider landscape
    • Providers’ capabilities and market shares
    • Providers’ key strengths and limitations

    Scope:

    • Industry: healthcare
    • Geography: global
    • Service: RCM Business Process Services (BPS)
    • The assessment is based on Everest Group’s annual RFI process for the calendar year 2023, interactions with leading RCM providers, client reference checks, and an ongoing analysis of the RCM services market
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What is the PEAK Matrix®?

The PEAK Matrix® provides an objective, data-driven assessment of service and technology providers based on their overall capability and market impact across different global services markets, classifying them into three categories: Leaders, Major Contenders, and Aspirants.

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