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

Out of the Darkness Walks

April 20, 2016

I recently learned that a person commits suicide about every 12.3 minutes in the United States. That's 42,773 Americans a year. This is a staggering statistic.

Experts say the best way to prevent suicide is through early detection, diagnosis, and treatment of depression and other mood diso ....
» see this post    » all posts


It's Time to Rewrite Dodd-Frank

April 14, 2016

Many Republicans and ARM executives believe overhauling the Dodd-Frank Act is long overdue. They've questioned the CFPB's constitutionality since its creation. This is not a new topic, but it will continue to be highlighted throughout the election year. However, recent developments in the courtroom also hav ....
» see this post    » all posts


Laugh a Little More Loudly This Month

April 7, 2016

I just learned that April is National Humor Month. I hope we celebrate humor in the workplace and in our lives more than one month every year. I think humor should be a part of our daily routine and we should try to see the lighter side of a situation whenever possible.» see this post    » all posts


EVENTS

NARCA 2016 Spring Conference

Sheraton Grand Chicago
Chicago, IL
May 4th-7th, 2016

NARCA Conferences provide a forum to attend cutting-edge educational sessions, earn CLE credits, attend client meetings, and network with professionals from creditors rights law firms, clients and credit grantors, buyers and sellers of consumer debt, and vendors of innovative products and services. Attend ....

» see more




Collection and Recovery Solutions 2016

Four Seasons Hotel
Las Vegas, NV
May 11th-13th, 2016

The U.S. accounts receivable management industry is undergoing a lot of change, and it can be difficult to keep up. Join Mike Ginsberg, President and CEO of Kaulkin Ginsberg, during his session titled, "What's Happening - What's New," as he breaks down the latest developments affecting key market segments, economic trends, and ....

» see more




2016 ACA International Convention & Expo

Hyatt Regency Convention Center
Denver, CO
June 16th-18th, 2016

The ACA heads to Denver, a city only 340 miles from the exact center of the continental United States. This year, the convention will feature interactive sessions including coffee chats, technology best ideas, round-table discussion groups, deeper dive sessions, ....

» see more