Most disappointing RCM engagements are not caused by capability gaps. They are caused by scope ambiguity — both sides assuming the other owns a step.
Get the operating model in writing
Before pricing, agree exactly which functions transfer, which stay in-house, how exceptions are returned to your team, and who is accountable when a claim stalls.
- Which revenue cycle steps are in scope, step by step
- Turnaround expectations and escalation paths
- What reporting you receive, how often, and in what format
- How performance is measured against your own baseline
- How patient-facing communication tone and policy are controlled
Insist on baseline measurement
A partner who documents your starting metrics is committing to be measured. A partner who quotes industry averages instead is not.