Everything you wish someone told you about automating RCM
From failed bots to million-dollar recoveries – stories, frameworks, and lessons from the field.
Featured insights
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XiFin - 101 Guide
When a private equity firm holds a healthcare technology company for twelve years–nearly double the industry standard–it tells a story. Whether that narrative speaks to product maturity or exit market challenges remains an open question, and one that diagnostic billing leaders should answer before signing multi-year contracts with XiFin. This article is exactly about this.
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"NPS (Net Promoter Score)" - Term Explanation
Net Promoter Score (NPS) measures patient or customer loyalty by asking: 'How likely are you to recommend us?' on a 0–10 scale. In healthcare, NPS is increasingly linked to Value-Based Care reimbursement and is a leading indicator of patient retention. The billing experience is a significant but often overlooked NPS driver — confusing statements and billing errors consistently generate detractors.
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"Days in Accounts Receivable (DAR)" - Term Explanation
Days in Accounts Receivable (DAR) measures the average days between service delivery and payment collection — the primary indicator of revenue cycle velocity and cash flow health. Best practice: 30–35 days. Anything above 50 signals systemic billing or collection issues. DAR worsening over time is always a warning signal regardless of absolute value.
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NextGen Automation | 2026
While deploying a modern EHR like NextGen is a great milestone, it is highly advised to look at whether your staff is still wasting hours manually copy-pasting data into individual payer portals. It is wise to question if your infrastructure actually validates claims against changing insurer rules before submission, or if you are relying on costly denials to catch mistakes. Can your financial leadership truly justify letting days in accounts receivable drag on when an automated data bridge could instantly unlock millions in cash flow? Failing to address this gap means your massive EHR investment isn't actually driving maturity—it is simply hiding a multi-million-dollar operational bottleneck.
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AWS Connect Health: RCM Salvation or Infrastructure Play?
While the US healthcare system bleeds hundreds of billions annually to administrative waste, tech giants are pitching AI as the ultimate cure. But when evaluating Amazon's new offering, healthcare executives must ask a critical question: AWS Connect Health: Infrastructure Play or RCM Solution? Stripping away the marketing reveals that it is a powerful cloud foundation requiring years of expensive custom development, not a ready-to-use billing platform. Before investing, leaders must decide if they have the engineering budget to build from scratch or if they need an out-of-the-box system that delivers immediate financial ROI.
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"Cost to Collect (CTC)" - Term Explanation
Cost to Collect (CTC) is the total operational expense incurred to collect $1 of net patient revenue — the most comprehensive RCM efficiency metric. It accounts for all staff, technology, denials rework, and overhead in the revenue cycle. Industry best practice: 3–5% of net revenue. A 1% improvement on $10M annual collections is $100,000 in freed capacity.
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UiPath's Agentic AI: Orchestrating Autonomous Agents in Enterprise Automation
Discover how UiPath's agentic AI platform — Maestro, Agent Builder, Autopilot, and Healing Agent — enables enterprises to orchestrate autonomous AI agents at scale. Includes competitive analysis of UiPath vs Microsoft, Automation Anywhere, and SS&C Blue Prism.
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Claude for Healthcare Overview | 2026
In January 2026, Anthropic launched Claude for Healthcare at the J.P. Morgan Healthcare Conference - a dedicated toolkit integrating Claude with US medical data infrastructure. This guide covers the full technical architecture, clinical benchmarks, real-world case studies (Banner Health, Novartis, Novo Nordisk), HIPAA compliance details as of April 2026, and a head-to-head comparison with OpenAI's healthcare offerings. Essential reading for anyone planning a healthcare AI implementation.
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Dr. Chrono EHR Automation | 2026
Can your medical practice survive a $300,000 annual loss simply because of a manual billing process? This is the $240 billion question facing providers as the 2026 CMS Prior Authorization Final Rule transforms RCM automation from a luxury into a federal mandate. For practices collecting between $500k and $8M, the choice is now binary: modernize the billing infrastructure or accept systematic revenue leakage as a permanent cost of compliance. With manual workflows hemorrhaging 5-10% of gross revenue, the 2024–2026 window represents the final opportunity for voluntary adoption before the regulatory cliff arrives. For those committed to remaining independent, automation is no longer an "innovation" - it is the only defensive moat against forced consolidation.