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 ...

 

 

 

 

LATEST BLOGS

DCS 2014 Presentation - Fast Tracks for ARM Executives

September 18, 2014

Last week at DCS 2014, I presented on the topic Where is the ARM Industry Heading during the Fast Tracks segment. Living up to its name, Fast Tracks is intended to provide the audience with quick bursts of information on specific topics. Here are a few of the pressing topics I covered:

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    Mid-Year Predictions: What to Watch for in the ARM Industry

    September 9, 2014

    Nearly seven years after the onset of the Great Recession, we are only now beginning to reach pre-recession levels of economic activity. The U.S. ARM industry has been forever changed. As strategic planning is a big focus in the fall for most executives, here are some of our mid-year predictions for the ARM industry:

    Prediction #1 - As this graphic illustrates, we expect that more consumers will wind up in collections, and ....
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    Healthcare and the Amazing Aging U.S. Population

    September 2, 2014

    (This and other client markets of the U.S. ARM industry were evaluated in our 2014 Accounts Receivable Management Midyear Review. Click here to request your copy now).

    Between 2016 and 2034 the baby boomer generation the largest population group in the United States will begin retiring from the labor force. Baby boomers include all people born in the United States between the years 1946-1964, estimated to be 77.3 mill ....
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EVENTS

2014 TRMA Fall Conference


Hilton Portland & Executive Tower, Portland, Oregon
September 30th- October 1st, 2014

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FCIB 25th Annual Global Conference


The Sheraton Inner Harbor Hotel, Baltimore, MD
October 12th-14th

Join FCIB in Baltimore this October for three days of networking with your peers from around the world and educational sessions led by i....

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ARM U


FHI 360 Conference Center, Washington, DC
October 14th-15th, 2014

ARM-U will feature educational presentations, panel discussions and networking opportunities with industry experts, peers and vendors. ....

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