5 Signs It’s Time to Switch RCM Providers
Not all RCM vendors deliver the performance they promise. Hospitals often continue with underperforming partners too long, losing revenue and efficiency in the process. If your current RCM provider is falling short, recognizing the signs early can protect your bottom line.
1. Denials Keep Climbing
Consistently high denial rates signal deeper process issues. If your vendor isn’t identifying root causes or showing measurable improvement, it may be time for a change. Effective denial management should drive reductions in both initial and recurring denials.
2. AR Days Are Stagnant or Worsening
Your average days in accounts receivable (AR) is a direct indicator of cash flow performance. A provider that can't show steady AR reduction—especially in the 90+ day category—likely lacks the follow-up rigor or workflow efficiency needed for optimal results.
3. Lack of Transparency and Reporting
If you can’t easily access KPIs, claim statuses, or productivity metrics, you're flying blind. A credible RCM partner provides real-time dashboards, clear reporting, and regular performance reviews. Anything less is a red flag.
4. Missed SLAs and Vague Accountability
Missed service level agreements (SLAs), slow response times, and shifting explanations suggest poor internal management. Reliable vendors hit targets, own mistakes, and course-correct fast.
5. Your Internal Team Is Doing the Heavy Lifting
If your billing team spends significant time cleaning up vendor errors, chasing status updates, or supplementing claims work, the partnership isn’t working. The right RCM partner should lighten your load, not add to it.
Evaluating a New Partner
Look for a vendor that:
Prioritizes clean claims and fast turnaround
Offers transparent, outcome-based reporting
Demonstrates expertise in denial prevention and AR recovery
Aligns with your hospital’s compliance and performance goals
Why Hospitals Choose Code Quick
At Code Quick, we work as an extension of your team—delivering measurable improvements in net collections, denial reduction, and AR resolution. Our data-driven RCM services are tailored to hospital systems that demand more from their vendors.
Not Getting What You Need?
Let Code Quick assess your current RCM partnership and recommend actionable next steps to improve your financial performance.