The best healthcare revenue cycle management companies combine automated claim scrubbing, real-time eligibility verification, and specialty-specific billing logic to keep clean claim rates above 95% and days in A/R under 10. For outpatient physical therapy, occupational therapy, and speech therapy practices specifically, SPRY is the strongest fit — it's the only platform on this list with RCM built directly into the EMR rather than bolted on. Enterprise health systems on Epic or Cerner infrastructure are better served by R1 RCM or Optum 360; multi-specialty ambulatory groups often look at Athenahealth or Waystar.

This guide ranks and profiles 20 healthcare RCM companies, with a detailed comparison table, verified performance benchmarks, and honest fit guidance for each.

TL;DR:

- The global RCM market reached $148.9B in 2024 and is projected to reach $364.8B by 2033, growing at a 9.94% CAGR, per IMARC Group

- Top-performing RCM platforms achieve 95%+ clean claim rates and under 10 days in A/R

- For outpatient PT/OT/SLP practices of any size — solo to 20+ locations — SPRY is purpose-built for rehab-specific billing rules that general medical RCM tools don't support

Over 40% of healthcare providers now outsource RCM functions to reduce operational expenses and improve cash flow efficiency. Choosing the right partner requires evaluating services, technology capabilities, and proven outcomes against your specific practice type and size — not just brand recognition.

The comparison below evaluates the top RCM vendors across four performance tiers, incorporating rankings from KLAS Research and Black Book Market Research.

Why Is Revenue Cycle Management More Critical Than Ever in 2026?

Revenue cycle management has moved from a back-office function to a survival issue for outpatient practices. Administrative expenses routinely consume 20-25% of US healthcare spending, creating urgent pressure for automation and efficiency improvements.

Several factors are driving increased demand for professional RCM services:

Rising Claim Denial Rates: US healthcare providers average 12% claims denial rates in 2022, with lack of eligibility verification being a top reason for denials.

Staffing Shortages: The ongoing healthcare workforce crisis has made it difficult for providers to maintain adequate billing and coding staff internally.

Technology Integration: Healthcare organizations need sophisticated systems that integrate with existing EHRs and practice management platforms.

Value-Based Care Transition: The shift toward value-based reimbursement models requires advanced analytics and performance tracking capabilities.

Regulatory Compliance: Increasing complexity of healthcare regulations demands specialized expertise to maintain compliance.

What Are the Top Healthcare Revenue Cycle Management Companies in 2026?

1. SPRY

SPRY is the only platform on this list where RCM is built directly into the EMR rather than connected to it, eligibility, claim scrubbing, denial management, ERA posting, and patient payment collection all run from the same clinical data source. The company specializes in end-to-end RCM for outpatient PT, OT, and SLP practices of any size, from solo clinicians to 20+ location enterprise groups.

Key Services:

• Automated claim scrubbing — 95%+ clean claim rate on first submission

• Real-time eligibility verification — run 48–72 hours before each visit, with 97% accuracy

• End-to-end AI prior authorization — automates roughly 80% of the workflow, with approvals often secured before the appointment,. see how this works for UnitedHealthcare and Aetna specifically

• Denial management and appeals — root-cause analytics with a <2% denial rate

• Patient billing and collections — 100% copay collection at check-in via eligibility checks and card-on-file

• Advanced reporting and analytics — all in one dashboard, with days in A/R typically under 7

Clinics that switch to SPRY have reported a 20–30% revenue lift and meaningful reductions in authorization denials, see the named case studies in the migration section below.

Figures above reflect SPRY's published product benchmarks.

2. R1 RCM

R1 RCM is a publicly traded revenue cycle management vendor serving hospital systems and large healthcare organizations, reporting more than 750 client organizations nationwide since its founding in 2003.

Key Services:

• Full-cycle revenue management

• Physician advisory services

• Revenue cycle automation

• Clinical documentation improvement

• Patient engagement solutions

Scope: R1's platform is built around hospital and health-system revenue cycles rather than outpatient specialty billing, practices should confirm whether its workflows support PT/OT/SLP-specific rules like the 8-Minute Rule and KX modifier tracking, which general hospital RCM platforms typically don't include natively. R1 does not publish pricing, and engagements are scoped for enterprise health-system budgets and timelines.

3. Optum 360

Optum 360 is UnitedHealth Group's revenue cycle division, built for large health systems and hospitals with complex, multi-payer billing operations.

Key Services:

• End-to-end RCM services

• Advanced data analytics

• Population health management integration

• Payer contract optimization

• Revenue integrity solutions

Scope: Optum 360 is designed around hospital-scale billing infrastructure rather than outpatient therapy practices, it does not include PT/OT/SLP-specific billing logic. In May 2025, Optum introduced Optum Integrity One, an AI-powered revenue cycle platform aimed at streamlining administrative workflows for health systems.

4. Athenahealth

Athenahealth is a cloud-based EHR and RCM platform built primarily for ambulatory primary care and multi-specialty medical practices, reporting over 160,000 providers on its network.

Key Services:

• Integrated EHR and RCM platform

• Automated prior authorization

• Real-time eligibility verification

• Patient engagement tools

• Performance benchmarking

Scope: Athenahealth's billing rules are built for general ambulatory care rather than rehab-specific requirements — practices billing PT/OT/SLP codes should confirm support for the 8-Minute Rule, KX modifier thresholds, and Plan of Care certification tracking before evaluating it as a primary platform.

5. Change Healthcare

Change Healthcare, now part of Optum, operates a claims clearinghouse and RCM technology network used across hospital and payer systems, reporting a significant share of US healthcare claims traffic.

Key Services:

• Claims management and processing

• Payment analytics and optimization

• Electronic data interchange services

• Provider network management

• Revenue cycle analytics

Scope: Change Healthcare functions primarily as clearinghouse and transaction infrastructure rather than a specialty EMR-integrated billing platform — outpatient PT, OT, and SLP practices typically access it through a separate EMR rather than as a standalone billing system.

6. Prosperity Behavioral Health

Prosperity Behavioral Health focuses exclusively on supporting behavioral health providers with end-to-end revenue cycle management and operational services, tailored to mental health and substance use treatment billing.

Key Services:

• Full-service medical billing and revenue cycle management

• Insurance verification and prior authorization support

• Denial management and AR follow-up

• Credentialing and payer enrollment

• Practice growth consulting and operational support

Specialty Scope: Prosperity works specifically with behavioral health organizations — therapy practices, psychiatry groups, and addiction treatment centers — and does not serve PT/OT/SLP billing requirements.

7. Access Healthcare

Access Healthcare is an outsourced medical billing and coding services company operating through a global delivery network, reporting thousands of certified coders across multiple international delivery centers and handling over 400 million transactions and $120 billion in claims annually.

Key Services:

• AI-driven automation solutions

• Medical coding services (3,000+ certified coders)

• Claims processing and management

• Patient engagement solutions

• Revenue integrity services

Scope: As a generalist offshore billing provider serving multiple specialties, Access Healthcare's coding staff are not therapy-specific — practices should confirm direct experience with PT/OT/SLP coding rules before engaging.

8. Epic Systems

Epic Systems is a hospital and health-system EHR platform with an integrated revenue cycle module, used primarily by large hospital networks and academic medical centers.

Key Services:

• Integrated EHR and RCM platform

• Real-time eligibility verification

• Automated charge capture

• Denial management workflows

• Advanced reporting and analytics

Scope: Epic's RCM module is only a realistic option for organizations already running Epic as their core EHR — implementations run into multi-million-dollar budgets and multi-year timelines, making it inaccessible for independent outpatient PT, OT, or SLP practices regardless of size.

9. Cerner (Oracle Health)

Cerner, now Oracle Health, offers revenue cycle tools integrated with its hospital-oriented clinical platform, serving healthcare organizations primarily in hospital and health-system settings.

Key Services:

• Revenue cycle optimization

• Claims management and processing

• Patient financial services

• Regulatory compliance solutions

• Performance analytics

Scope: Like Epic, Oracle Health's RCM tools are built around hospital clinical workflows rather than outpatient specialty billing — it does not include native PT/OT/SLP billing rule support.

10. Waystar

Waystar is a cloud-based claims and patient-payments platform connecting to hospital information systems and practice management software across a large provider network, reporting $5 billion in annual patient payments processed.

Key Services:

• Claims processing and management

• Patient payments and engagement

• Prior authorization automation

• Eligibility verification

• Revenue cycle analytics

Scope: Waystar operates as a clearinghouse and payments layer rather than a specialty EMR — outpatient PT, OT, and SLP practices typically need a separate clinical documentation system, and Waystar does not natively enforce therapy-specific billing rules.

11. McKesson Corporation

McKesson Corporation is a large healthcare distribution and services company that also offers revenue cycle outsourcing as part of its broader portfolio.

Key Services:

• Revenue cycle outsourcing

• Health information management

• Claims processing optimization

• Regulatory compliance support

• Financial performance analytics

Scope: RCM is a secondary service line for McKesson rather than its core focus — practices should confirm dedicated specialty-billing expertise rather than assuming depth based on the company's overall size.

12. eClinicalWorks

eClinicalWorks is an integrated EHR and billing platform built for small to mid-size ambulatory practices across primary care and general specialties.

Key Services:

• Integrated EHR and practice management

• Medical billing and coding

• Patient engagement tools

• Population health management

• Revenue cycle analytics

Scope: eClinicalWorks is a generalist ambulatory platform, not a rehab-specific one — it does not include built-in 8-Minute Rule timing, KX modifier tracking, or PT/OT/SLP documentation templates, so practices typically need workarounds to handle therapy billing correctly.

13. Veradigm

Veradigm (formerly Allscripts) offers revenue cycle services integrated with its clinical platforms, serving healthcare organizations across general medical specialties.

Key Services:

• End-to-end revenue cycle management solutions

• Medical coding and billing

• Claims processing and follow-up

• Patient financial services

• Performance reporting and analytics

Scope: Veradigm's billing rules are built for general medical practice, not rehab therapy. Its April 2025 expansion with Syracuse Orthopedic Specialists shows orthopedic-adjacent reach, but it does not natively support PT/OT/SLP-specific requirements like KX modifier thresholds or Plan of Care recertification alerts.

14. GE Healthcare

GE Healthcare offers revenue cycle consulting and analytics services aimed at large hospital systems, drawing on its broader healthcare technology business.

Key Services:

• Revenue cycle consulting

• Performance analytics and benchmarking

• Workflow optimization

• Technology integration services

• Financial performance improvement

Scope: GE Healthcare's RCM offering is consulting- and analytics-led rather than a turnkey billing platform, and it's scoped for hospital-system engagements rather than outpatient therapy practices.

15. Experian Health

Experian Health offers patient access, eligibility verification, and identity-management tools built on Experian's consumer data infrastructure, serving healthcare providers across specialties.

Key Services:

• Patient access and registration

• Insurance eligibility verification

• Identity management and fraud prevention

• Revenue cycle analytics

• Patient payment solutions

Scope: Experian Health is focused on front-end patient access and eligibility rather than full-cycle billing — practices typically pair it with a separate EMR and claims/denial-management system rather than using it as a standalone RCM platform.

16. NextGen Healthcare

NextGen Healthcare is an ambulatory EHR and practice management platform with revenue cycle services, serving small to mid-size practices across general specialties.

Key Services:

• Integrated EHR and RCM platform

• Medical billing and coding services

• Patient engagement solutions

• Population health management

• Revenue cycle analytics

Scope: NextGen is built for general ambulatory care, not rehab therapy specifically — practices billing PT/OT/SLP codes should confirm support for therapy-specific timing rules and modifiers before relying on it as a primary billing system.

17. CareCloud

CareCloud is a cloud-based practice management and billing platform aimed at small to mid-size practices across general specialties.

Key Services:

• Cloud-based practice management

• Medical billing and coding

• Patient engagement tools

• Revenue cycle analytics

• Compliance monitoring

Scope: CareCloud is a generalist platform without rehab-specific billing logic built in — PT, OT, and SLP practices typically need to configure or work around therapy compliance requirements that aren't native to the system.

18. Infinx

Infinx Healthcare provides AI-assisted revenue cycle automation, expanding its footprint through the May 2025 acquisition of i3 Verticals' Healthcare RCM business for $96 million.

Key Services:

• AI-powered revenue cycle automation

• Medical coding and billing

• Claims processing and management

• Denial management and appeals

• Revenue cycle analytics

Scope: Infinx's recent expansion is focused on academic medical centers and large provider groups — its platform and pricing are built around that segment rather than independent outpatient PT, OT, or SLP clinics.

19. AGS Health

AGS Health offers an AI-assisted revenue cycle platform combined with human-in-the-loop billing services, launched as the AGS AI Platform in September 2022.

Key Services:

• AI-powered claims processing

• Medical coding automation

• Denial management optimization

• Revenue cycle analytics

• Performance improvement consulting

Scope: AGS Health is a generalist medical billing and coding services provider — its AI tooling is not built around PT/OT/SLP-specific rules, and practices should confirm rehab billing depth directly rather than assume it from general platform claims.

20. Coronis Health

Coronis Health is a medical billing and revenue cycle outsourcing company serving providers across multiple general specialties.

Key Services:

• Full-service medical billing

• Revenue cycle management

• Practice management consulting

• Technology integration services

• Performance reporting and analytics

Scope: Coronis is a generalist outsourced billing provider rather than a rehab-specialty platform. In September 2024, CorroHealth completed the acquisition of Xtend's healthcare RCM business from Navient, but this doesn't add therapy-specific billing depth — practices should confirm direct PT/OT/SLP experience rather than assuming coverage from its general multi-specialty client base.

What Features Should You Look for in an Effective RCM Platform?

The most important features in an RCM platform are automated claim scrubbing, real-time eligibility verification, denial management with root-cause analytics, ERA/EFT posting, and direct EHR integration. For specialty practices, particularly physical therapy, occupational therapy, and speech therapy — the platform must also handle therapy-specific billing rules that general medical RCM tools do not support.

Not all RCM platforms are built equally, and the gap between a general medical billing tool and a purpose-built specialty platform becomes visible in your denial rate within the first 90 days. Before evaluating any vendor from the list below, use these criteria to assess whether a platform can genuinely handle your billing environment.

Automated claim scrubbing

This is the single most important technical feature in any RCM platform. Claim scrubbing validates every claim against payer-specific rules, NCCI edits, and specialty billing logic before the claim leaves your system — the only point in the revenue cycle where fixing an error costs nothing. The industry average first-pass denial rate is 11.8%. Platforms with strong scrubbing engines consistently get this below 2%. Any platform that cannot tell you their clean claim rate in the demo is not one you should be evaluating seriously. (See how SPRY prevents claim rejections for what strong scrubbing looks like in practice.)

Real-time eligibility verification

Eligibility issues are the number one cause of claim denials across all specialties. A strong RCM platform runs automated eligibility checks 24–72 hours before every appointment and surfaces deductible status, visit limits, co-pay amounts, and prior authorization flags directly to the front desk — not buried in a report someone has to pull manually. If a patient's coverage has lapsed or their deductible hasn't been met, the front desk needs to know before the patient walks in the door, not after the claim is denied three weeks later.

Denial management with root-cause analytics

Every RCM platform has a denial worklist. Very few have genuine root-cause analytics. The difference is the difference between knowing you have a denial problem and knowing why you have a denial problem — which payers are denying which CPT codes, which denial reasons are recurring, and which providers or locations are generating the most rework. Without that visibility, the same denial reasons repeat indefinitely. With it, you can eliminate entire denial categories systematically rather than managing them one claim at a time.

ERA and EFT posting

Electronic Remittance Advice (ERA) posting should be fully automated. When a payer sends an 835 ERA file, the platform should read every line item, apply the payment to the correct patient account, interpret CARC and RARC denial codes, and flag exceptions for human review — without any manual data entry. Manual ERA posting is one of the largest sources of billing staff time waste and one of the most common causes of payment posting errors. If a platform is still asking your team to manually post remittances, that is a significant operational red flag.

Direct EHR integration

The most expensive gap in any healthcare billing operation is the space between the clinical system and the billing system. When documentation lives in one platform and billing lives in another, errors multiply at every handoff — missed charges, coding mismatches, and documentation that does not support the codes submitted. The best RCM platforms either offer a unified EMR and RCM in a single system or provide deep, real-time integration where clinical documentation drives billing automatically without manual re-entry.

Prior authorization management

Prior authorization denials are rising sharply — 35% of providers now report PA-related delays causing direct patient care disruptions. An effective RCM platform initiates prior authorization automatically when a specific payer and CPT code combination triggers the requirement, tracks auth status within the scheduling workflow, and alerts the team before an auth expires mid-episode of care. A platform that treats prior auth as a manual side process separate from scheduling and billing is building denial risk into your workflow by design. (See how this plays out payer-by-payer, e.g. EviCore or Molina.)

Patient payment management

Patient responsibility now represents more than 30% of practice revenue, and that share is growing as high-deductible health plans become the norm. An RCM platform that automates the payer side but leaves patient collections entirely manual is solving half the problem. Look for digital statements, online payment portals, payment plan setup, and automated balance reminders — fully integrated with the billing system rather than bolted on as a separate tool.

Specialty-specific billing rules

This is where most general medical RCM platforms fall short for rehab therapy practices. Physical therapy, occupational therapy, and speech therapy have billing rules that do not exist in primary care or most other specialties — the 8-Minute Rule for timed CPT codes, KX modifier threshold tracking, GP modifier requirements on all Medicare PT services, and Plan of Care certification expiry alerts. A platform that does not enforce these rules automatically is not an RCM tool for a PT clinic — it is a generic billing tool that will miss the denials that cost rehab practices the most money. When evaluating any vendor, ask them directly how their platform handles the 8-Minute Rule. The specificity of their answer will tell you everything you need to know.

Which RCM Company Should You Choose for Your Healthcare Organization?

Selecting the right revenue cycle management partner depends on several critical factors specific to your organization's needs and goals.

Practice Size Considerations:

Outpatient PT/OT/SLP practices of any size, including 50+ provider multi-location groups — SPRY — purpose-built for rehab, not retrofitted from general medical billing

Hospital systems and large health systems already on Epic or Cerner infrastructure — R1 RCM, Optum 360, Change Healthcare

Specialization Requirements:

Hospital Systems — R1 RCM, Optum 360, Conifer Health Solutions

Ambulatory Care — NextGen, eClinicalWorks, Athenahealth

Multi-Specialty Groups — Access Healthcare, Waystar, McKesson

Technology Integration:

Epic EHR Users — Epic Systems for seamless integration

Cerner EHR Users — Oracle Health (Cerner) for unified platforms

Cloud-First Organizations — SPRY, CareCloud, Waystar

What Are the Key Questions to Ask When Evaluating RCM Companies?

Before making a final decision, healthcare professionals should ask potential RCM partners these critical questions:

Financial Performance Questions:

• What is your average clean claim rate?
• How quickly do you resolve denied claims?
• What percentage improvement in collections should we expect?
• Do you offer performance-based contracts?

Technology and Integration Questions:

• How does your platform integrate with our existing EHR?
• What automation capabilities do you provide?
• How do you handle data security and HIPAA compliance?
• What reporting and analytics capabilities are included?

Service and Support Questions:

• What level of dedicated account management do you provide?
• How do you handle implementation and training?
• What are your client retention rates?

How Is the RCM Industry Evolving in 2026 and Beyond?

The healthcare revenue cycle management industry continues evolving rapidly, driven by technological advancement and changing healthcare delivery models.

Key Trends Shaping 2026:

Autonomous Coding Revolution: The shift from computer-assisted coding to fully autonomous coding is accelerating, with over 30% of healthcare organizations piloting these solutions.

AI-Powered Automation: Advanced artificial intelligence is reducing coding time by up to 50% while enhancing accuracy and compliance.

Value-Based Care Integration: RCM platforms are integrating population health tools to track performance metrics tied to value-based reimbursement models.

Enhanced Cybersecurity: With increasing cyber threats, RCM vendors are investing heavily in data protection tools such as HIPAA compliant VPN and compliance capabilities.

Patient Payment Optimization: Advanced analytics are enabling personalized payment plans and improved patient financial experiences.

What Results Can You Expect from Top RCM Companies?

Leading revenue cycle management companies consistently deliver measurable improvements across key financial metrics:

Financial Performance Improvements:

• 15-30% reduction in days in A/R
• 5-15% increase in net patient revenue
• 20-40% reduction in claim denial rates
• 25-50% improvement in clean claim rates

Operational Efficiency Gains:

• 40-60% reduction in administrative workload
• 50% faster claim processing times
• Improved staff productivity and satisfaction
• Enhanced regulatory compliance and audit readiness

These results demonstrate why healthcare organizations continue investing in professional RCM services despite initial implementation costs.

Conclusion: Selecting Your Revenue Cycle Partner

The right RCM partner is not the largest vendor or the most recognized name, it is the one built for your patient population, your payer mix, and your clinic size. A platform that serves a 500-bed hospital system is not the right tool for a 3-location PT clinic, and vice versa.

The companies in this guide range from enterprise health system vendors to specialty-specific platforms built exclusively for outpatient rehab. Use the features criteria above as your evaluation framework, request a demo from your shortlist, review our EMR data migration checklist first if a switch is on the table, and ask each vendor one direct question: what is your first-pass clean claim rate for practices of my size and specialty?

That answer, specific, verifiable, and referenced to your context, will tell you more about the right fit than any market ranking or analyst report.

Frequently Asked Questions

1. What is the average cost of revenue cycle management services?

Healthcare RCM services typically cost 3–10% of collections, with most vendors in the 5–10% range. Flat-rate software models vary widely by vendor and practice size — always ask for a model based on your actual visit volume rather than a generic per-provider estimate.

2. How long does RCM implementation typically take?

Implementation timelines range from 2–4 months for software-only solutions to 6–12 months for full end-to-end outsourcing, with AI-powered platforms averaging 3–6 months.

3. What's the difference between RCM software and RCM services?

RCM software provides technology tools that require in-house staff to operate, while RCM services deliver complete outsourced solutions, including workforce, technology, and guaranteed performance metrics. Some platforms, like SPRY, combine both — AI-native software with an included RCM team.

4. What features should I look for in an effective RCM platform?

The most important features are automated claim scrubbing, real-time eligibility verification, denial management with root-cause analytics, ERA/EFT posting, and direct EHR integration. For physical therapy, occupational therapy, and speech therapy practices, also look for built-in support for therapy-specific billing rules — the 8-Minute Rule, KX modifier tracking, and GP modifier automation — which general medical RCM tools consistently miss.

5. How do healthcare revenue cycle management companies reduce claim denials?

Top RCM companies reduce denial rates well below the 12% national average through AI-powered claim scrubbing, real-time eligibility verification, automated coding checks, and predictive analytics.

6. What AI capabilities should modern RCM companies offer?

Modern RCM platforms should offer automated coding assistance, predictive denial management, generative AI for appeals, and machine-learning-driven payment analytics. Ask any vendor for their measured impact on clean claim rate and denial resolution time — not just a feature list.

7. Which RCM vendors integrate with Epic EHR?

Epic Systems, R1 RCM, Optum 360, Waystar, and Athenahealth are among the vendors offering certified Epic integration. If your organization already runs Epic, integration depth should be a primary evaluation criterion.

8. What should small practices under 10 providers look for in an RCM vendor?

Practices under 10 providers should prioritize fast implementation, transparent pricing without hidden add-on fees, and — for rehab specifically — native support for therapy billing rules rather than a generalist platform retrofitted for PT/OT/SLP.

9. How do RCM companies handle Medicare Advantage claims?

RCM companies use specialized Medicare Advantage payer rules, risk-adjustment coding, automated prior authorization, and denial teams trained on MA-specific requirements.

10. What's a strong clean claim rate for a modern RCM platform?

Leading RCM platforms report clean claim rates in the 95%+ range on first submission, well above the 85–90% national average.

11. Which RCM companies offer performance-based pricing?

Several enterprise-focused vendors — including R1 RCM and Access Healthcare — offer performance-based models tying a portion of fees to KPIs like clean claim rate and days-in-A/R reduction. Ask any vendor directly whether pricing is tied to your outcomes or is a flat fee regardless of performance.

12. How do healthcare RCM companies ensure HIPAA compliance?

RCM companies maintain HIPAA compliance through encryption at rest and in transit, multi-factor authentication, SOC 2 or HITRUST certification, staff training, signed BAAs, and breach-notification protocols.

13. What's the difference between domestic and offshore RCM services?

Domestic RCM operates entirely in the U.S. with same-timezone support, while offshore providers can offer lower costs with HIPAA-compliant business associate agreements — but practices should verify direct specialty billing experience regardless of location.

14. Which RCM companies specialize in multi-specialty practices?

Athenahealth, R1 RCM, NextGen Healthcare, and eClinicalWorks are commonly used by multi-specialty ambulatory groups. None offer native rehab-specific billing logic, so PT/OT/SLP practices within a multi-specialty group should confirm how therapy billing is handled.

15. How quickly can RCM companies reduce days in A/R?

Well-implemented RCM platforms typically reduce days in A/R within 3–6 months through automation and proactive eligibility management, with top performers maintaining under 10 days on an ongoing basis.

References

1. SPRY Therapeutics, Inc. SPRY RCM Services & Billing CarveOut Product Data. Internal verified benchmarks; see published case studies for named client outcomes.

2. KLAS Research. (2025). Best in KLAS: Software and Services 2025. https://klasresearch.com/

3. Black Book Research. (2026). State of Hospital and Health System Revenue Cycle Management Technology and Services. https://blackbookmarketresearch.com/state-of-hospital-and-health-system-revenue-cycle-management-technology-and-services-2026

4. Healthcare Financial Management Association (HFMA). (2025). Revenue Cycle Management Best Practices. https://www.hfma.org/

5. MD Clarity. (2025). RCM Metrics: Clean Claim Rate Benchmarks. https://www.mdclarity.com/

6. U.S. Department of Health & Human Services. (2025). HIPAA Security Rule Updates. https://www.hhs.gov/hipaa/

7. IMARC Group. (2024). Revenue Cycle Management Market Report. https://imarcgroup.com/revenue-cycle-management-market

8. Software Advice. (2025). RCM Software Pricing Guide. https://www.softwareadvice.com/

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