Revenue Cycle Management

Revenue cycle management (RCM) is a relatively young industry within the outsourced business services sector.  It first came into existence in the mid to late 1980’s when large IT management companies began to deploy new systems designed to help clients more effectively manage their transaction processing, billing and receivables management needs. RCM established a name for itself in the healthcare market, whose constituents were only too eager to obtain IT solutions that would reduce their costs and streamline their operations without hurting their relationships with patients. Over the next 20 years the RCM industry slowly gained recognition and traction within the healthcare market as hospital systems and physician groups became more comfortable outsourcing their IT and related service needs. It also benefited from another important demographic trend – as the U.S. population became older, the need for effective healthcare solutions became greater.

While the IT management portion of the RCM industry became firmly established in the 1990s and 2000s, during this time there was also a growing need for specialty services that augmented the capabilities of the IT systems. Contrary to the beliefs of many IT providers and healthcare CFOs, certain functions still needed the involvement of experienced people – patient eligibility (Medicare, Medicaid, etc), billing, denial claims, etc., which were eventually outsourced to companies who specialized in those services.  

As a result, during the mid to late 2000s the RCM market experienced a significant increase in merger and acquisition activity as well as initial and secondary public offerings, driven by investors and strategic buyers eager to buy their way into this fast growing market. In addition, large IT management companies began to acquire specialty RCM servicing companies to expand their client base and service offerings, and create more stickiness with their client relationships. Certain RCM companies have also expanded their servicing capabilities into the healthcare collections market to create an end-to-end RCM solution for healthcare clients. This vertical integration of services has also prompted many healthcare accounts receivable management companies to move up into the RCM industry.  

The healthcare RCM industry continues to grow and attract interest from financial and strategic buyers. Kaulkin Ginsberg has worked with many RCM and healthcare receivables management companies over the years, serving as an advisor to board-level executives and helping them determine how best to grow and exit their businesses. We understand the history of the RCM industry, continue to garner expertise within it, and have the foresight to know where the industry is heading. We are excited about the potential within the RCM industry and look forward to working with owners and executives who are committed to achieving their growth and exit objectives.

MHS - Kadent

Mutual Hospital Services, a not-for-profit healthcare collection agency, was sold to Kadent Corporation (formerly ARM Holdings, Inc.).

ARC and ROI

ARC Group Associates, a healthcare revenue cycle management company in Pennsylvania, was acquired by Receivables Outsourcing, Inc. (ROI), an ARM company based in Maryland.

 Kaulkin Ginsberg is pleased to announce the acquisition of Patient Financial Services, Inc. and Absolute Collection Service, Incorporated (collectively, “ACS”) by Optimum Outcomes, a leading provider of account resolution services to hospitals ...

 

 

 

 

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EVENTS


ACA International Washington Insights Conference


Hyatt Regency Washington on Capital Hill
Washington, D.C.
April 14th-16th, 2015

Why is right now so important? The beginning of the 114th Congress is upon us. As a result of the November elections, Republicans now control both the Senate and House, and there is a new determination to get things done. New congressional members are now learning what they need to know about the issues and concerns.......

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2015 Larger Market Participant Summit


FHI360 Conference Center
Washington, D.C.
April 23rd, 2015

insideARM.com and the iA Institute host the third annual Larger Market Participant Summit.

This exclusive event caters to the unique interests of the larger firms in the ARM industry, with unparalleled peer networking, best practice discussion, panels focused on the latest issues... and no exhibit hall.


For senior executives only,.......

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Collection and Recovery Solutions 2015


Four Seasons Hotel
Las Vegas, NV
May 6th-8th, 2015

This content rich educational conference gives the techniques, strategies and resources for maximizing collection and recovery outcomes. Our goal is to enrich the intensity of the conference for the exhibitor, attendee and sponsor alike with an unparalleled learning experience. This is an exclusive gathering of industry professionals like none.......

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