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Business Solutions: Balancing the Financial and Human Side of Outsourcing RCM

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Manage episode 478571765 series 1260959
Content provided by MGMA. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by MGMA or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

What does successful RCM outsourcing look like in 2025? In this episode, Daniel Williams speaks with Chuck Rackley and Marvin Luz of Greenway Health about the evolution of revenue cycle outsourcing — from transactional support to fully integrated partnerships that deliver performance, accountability, and improved patient financial experiences.

Chuck and Marvin share best practices for evaluating outsourcing partners, measuring ROI and compliance, and aligning technology to reduce denials and boost efficiency. They also provide guidance for practices hesitant to outsource and explain how to maintain transparency, visibility, and control throughout the process.

Key Discussion Points

  • [01:30] Marvin and Chuck share their career backgrounds in healthcare RCM
  • [03:00] How RCM outsourcing has shifted toward strategic, tech-enabled partnerships
  • [05:45] Why confusing and delayed patient statements impact satisfaction and collections
  • [07:00] What to evaluate when selecting an outsourcing partner: expertise, transparency, tech, and ROI
  • [12:00] Greenway’s five-step compliance process for adapting to payer and regulatory changes
  • [14:00] The key KPIs to track: clean claim rate, days in AR, denial rate, and cash collections
  • [17:30] Addressing misconceptions about outsourcing, including transparency and control
  • [20:00] The growing role of AI and automation in RCM operations
  • [23:30] Advice for practices considering outsourcing in 2025
  • [25:00] Why communication, alignment, and references are critical for a successful partnership

Resources:

  continue reading

699 episodes

Artwork
iconShare
 
Manage episode 478571765 series 1260959
Content provided by MGMA. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by MGMA or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://podcastplayer.com/legal.

What does successful RCM outsourcing look like in 2025? In this episode, Daniel Williams speaks with Chuck Rackley and Marvin Luz of Greenway Health about the evolution of revenue cycle outsourcing — from transactional support to fully integrated partnerships that deliver performance, accountability, and improved patient financial experiences.

Chuck and Marvin share best practices for evaluating outsourcing partners, measuring ROI and compliance, and aligning technology to reduce denials and boost efficiency. They also provide guidance for practices hesitant to outsource and explain how to maintain transparency, visibility, and control throughout the process.

Key Discussion Points

  • [01:30] Marvin and Chuck share their career backgrounds in healthcare RCM
  • [03:00] How RCM outsourcing has shifted toward strategic, tech-enabled partnerships
  • [05:45] Why confusing and delayed patient statements impact satisfaction and collections
  • [07:00] What to evaluate when selecting an outsourcing partner: expertise, transparency, tech, and ROI
  • [12:00] Greenway’s five-step compliance process for adapting to payer and regulatory changes
  • [14:00] The key KPIs to track: clean claim rate, days in AR, denial rate, and cash collections
  • [17:30] Addressing misconceptions about outsourcing, including transparency and control
  • [20:00] The growing role of AI and automation in RCM operations
  • [23:30] Advice for practices considering outsourcing in 2025
  • [25:00] Why communication, alignment, and references are critical for a successful partnership

Resources:

  continue reading

699 episodes

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