Healthcare RCM Analytics

Follow Healthcare RCM Analytics
Share on
Copy link to clipboard

What makes for success in healthcare RCM? Can we create a repeatable widely accepted framework for analyzing success and comparing in order to benchmark?

Sean McSweeney


    • Jun 3, 2025 LATEST EPISODE
    • weekdays NEW EPISODES
    • 6m AVG DURATION
    • 262 EPISODES


    Search for episodes from Healthcare RCM Analytics with a specific topic:

    Latest episodes from Healthcare RCM Analytics

    RCM Process Documentation - Why So Bad

    Play Episode Listen Later Jun 3, 2025 7:04


    RM Process Documentation -Why So Bad

    RCM Process Documentation - Part 3

    Play Episode Listen Later May 29, 2025 11:32


    RCM Process Documentation - Part 3

    RCM Process Documentation - Part 2

    Play Episode Listen Later May 27, 2025 7:23


    RCM Process Documentation - Part 2

    Offshoring Success vs Failure

    Play Episode Listen Later May 22, 2025 8:09


    Offshoring Success vs Failure

    Offshoring Keys to Success w Details

    Play Episode Listen Later May 20, 2025 12:25


    Offshoring Keys to Success w Details

    Leadership and Culture Issues in Medical Billing

    Play Episode Listen Later May 15, 2025 8:28


    Leadership and Culture Issues in Medical Billing

    Future of RCM is Not Services

    Play Episode Listen Later May 13, 2025 8:11


    Future of RCM is Not Services

    Medical Billing EOM Reporting is Dead

    Play Episode Listen Later May 8, 2025 10:54


    What is EOM reporting that closes after the end of the month? Why do people still do this and why is this no longer a good solution? Listen to find out a modern data and reporting way of doing things that works much better.

    Get Paid Faster by Your Clients

    Play Episode Listen Later May 6, 2025 7:08


    Everyone focuses on getting clients paid faster, but what about your company getting paid by your clients? All RCM companies have had issues not getting paid or having to chase clients. We will take you through everything you need to know to have all your client invoices created, sent, paid and in your bank account - in 10 days.

    Why is So Much Work Pushed Back from India to the US?

    Play Episode Listen Later May 2, 2025 7:32


    Your medical billing operations team thinks something is being done offshore and suddenly it comes back or there are constantly questions or clarifications. Holdups, delays, problems that keep work from getting done or impact on client performance and productivity. Why is this happening and what should you do about it?

    Red Flags Rule - Are You Vulnerable To A Huge Lawsuit?

    Play Episode Listen Later Apr 30, 2025 5:50


    What is the Red Flags Rule? Are medical billing companies subject to it? How big a deal is it, what are you risks, and the impact if you have a problem? What should you do to make sure you don't have a giant financial liability? We'll walk you through all of this and you may be shocked at what you need to change to avoid a major problem.

    Tips for Sales Cold Calling for Medical Billing

    Play Episode Listen Later Apr 24, 2025 6:12


    Should your company cold call in order to generate leads and new sales? We'll walk through whether it works and specific steps to take to maximize results.

    A Warning to Medical Billing Companies: AI Lies

    Play Episode Listen Later Apr 22, 2025 8:25


    Amid all the hype around AI in healthcare RCM, there has been relatively little discussion around the challenges, or more specifically warnings about true adverse effects. Learn about how AI behaves including lying. You'll be shocked. And then we'll tell you what to do.

    eCW Data and Reporting - A Real Problem Case Study

    Play Episode Listen Later Apr 15, 2025 4:42


    Some PMS and EHR are better than others on reporting and data access. We'll walk through a few things that make some better than others and go through a specific use case regarding eCW and why it is so problematic for most users.

    RCM Analytics vs Data Warehousing - What Do You Need?

    Play Episode Listen Later Apr 10, 2025 6:32


    Most people just assume they need analytics. But what if I told you that might not be what your company needed right now? We'll walk through some scenarios on medical billing companies and their need for data-driven answers, how to get them, and what they really need right now. We'll also cover some other important factors like who you need in your organization to be successful with data warehousing or analytics.

    Improve Profitability: Medical Billing Sales Contracts and SOWs

    Play Episode Listen Later Apr 8, 2025 8:45


    What to improve you profitability? It starts in your RCM marketing and sales and most people don't think about contracts and statements of work (SOWs) and how they impact on client satisfaction, retention, and profitability. We'll take you through exactly what you need to do and why to ensure you have satisfied clients, keep them long term, and increase you profitability significantly

    How to Get Value Out of RCM AI

    Play Episode Listen Later Apr 5, 2025 7:20


    AI is so hot right now. Everyone is feeling the pressure to implement it or be left behind. But what do you do? We'll walk through what you need to do to get real value, specifically return on investment (ROI) out of any medical billing AI.

    No Good Positioning or Differentiation Available? Do This

    Play Episode Listen Later Mar 27, 2025 8:33


    What do you do if you don't have good options for positioning and differentiation of your company in your medical billing marketing? You can't just go without it or you'll waste tons of money on unsuccessful campaigns. In this podcast we'll discuss why this might be the case, and what to do if this is where you're stuck.

    No Good Targeting Options in Medical Billing Marketing? Do This

    Play Episode Listen Later Mar 20, 2025 7:52


    We've discussed the importance of strategy and targeting in particular in success in medical billing marketing. But what do you do if you don't have any good options? We'll discuss some scenarios you may find yourself in, as well as what you can do to solve this for successful lead generation campaigns.

    Specific Medical Billing KPIs You Should Use

    Play Episode Listen Later Mar 18, 2025 11:56


    In a prior podcast we talked about how to develop medical billing KPIs. In this one, we'll get really detailed and walk through how to break down company and operational goals and put them into KPIs that you can track and improve upon. We'll also give you a framework for how to evaluate if a KPI you have developed or selected is good.

    Improve Your RCM - Just Do It, Right?

    Play Episode Listen Later Mar 13, 2025 9:36


    Player: "How do we win more games, Coach?"Coach: "Score more points than the other team!"It is confusing, because sometimes these consultants' articles or vendor white papers are really detailed and seem like we should be learning something. But are they really actionable on how to improve your medical billing or just vague platitudes, and how can you tell the difference? We'll walk through one example and break it down. Not just a rant, this is a guaranteed feel-better piece for RCM.

    Can You Trust Data in Your PMS or EHR?

    Play Episode Listen Later Mar 11, 2025 8:02


    What does data integrity mean - basically can you trust the information in your system or systems? Medical billing data isn't complex, but if you can't trust the numbers, or worse your clients can't trust you because of your numbers, now what? Is this just a reporting problem or something much deeper? What practice management systems have a problem and what should you do about it?

    How Develop RCM KPIs

    Play Episode Listen Later Mar 6, 2025 11:48


    If you want medical billing KPIs, how do you create them? We'll dive into whether you should use HFMA or MGMA or similar types of metrics. You'll be surprised at our approach, because it throws out conventional wisdom, but will result in much more success for your organization.

    Stop Expecting Miracles from Medical Billing AI

    Play Episode Listen Later Mar 4, 2025 8:09


    I'm a huge proponent of medical billing AI, RCM automation, and all things technology. But what are you hoping the technology will do...magic? We'll discuss what is are realistic expectations for medical billing technology, and a sustainable and realistic approach to implementing medical billing automation and AI.

    How to Handle Medical Billing Leads

    Play Episode Listen Later Feb 27, 2025 8:22


    Your marketing is working, yay! Medical billing leads are starting to come in and what do you do with them? This is solidly sales, but is critical to your success. We'll walk through a specific scenario recently encountered by one of our clients and tell you what specifically you should do maximize your changes of closing the deal.

    Are We in an AI Market Bubble?

    Play Episode Listen Later Feb 25, 2025 5:55


    There is so much investment in AI right now. Microsoft investing $80 billion, Google $75 billion - is this just real, just hype, or dare I say it...a bubble? We'll discuss how it relates to medical billing AI and what you should do.

    HBMA Innovation Conference: Should You Go

    Play Episode Listen Later Feb 20, 2025 10:27


    The annual HBMA Innovation Conference is next month. I'll discuss the sessions and speakers, as well as whether you should attend based on your goals.

    Superbowl AI Ads: Impressive Missteps

    Play Episode Listen Later Feb 18, 2025 6:28


    There were a couple ads for AI during the Superbowl from titans of technology. And both went really badly for different reasons. We'll discuss what happened and what it means for the use of AI in revenue cycle management.

    NEVER Use This Word in Medical Billing Marketing

    Play Episode Listen Later Feb 13, 2025 7:32


    Most medical billing companies find marketing and sales to be difficult. Part of this problem may be due to their messaging, which incorporates positioning and differentiation (or it should). But what happens when this is done badly? What words should you avoid using that will all but guarantee failure in the market? And what is the absolute #1 word you should never use in medical billing marketing and why? I'll share all of this with you in this podcast.

    The Future of Medical Billing AI: Agentic

    Play Episode Listen Later Feb 11, 2025 10:08


    AI is all the rage, but is the ecosystem is evolving incredibly rapidly. Generational AI was the hot subject, but where is this all going? We'll discuss what Agentic AI is and how it fits into medical billing and with other types of AI. Then tell you what you should be doing now.

    How To Set Your Medical Billing Marketing Budget

    Play Episode Listen Later Feb 6, 2025 7:25


    Oddly enough, I don't often get this question, but I should. People ask what we charge instead of asking... You'll have to listen to this podcast to find out what people should be asking. I'll walk you through a process that will help you set a marketing budget if you don't already have one. And help you figure out if the budget is the right one for your medical billing company if you already have one.

    #1 KPI for Acquiring an RCM Company

    Play Episode Listen Later Feb 4, 2025 9:35


    What are common KPIs for acquiring a medical billing company? Should you use them? What is the #1 KPI you should use in evaluating an RCM acquisition? In this podcast, we'll go through all of this and you'll get my closest kept secret for RCM M&A.

    Social Media Marketing: A Good Investment?

    Play Episode Listen Later Jan 30, 2025 7:13


    Is social media marketing a good investment for medical billing companies? We'll talk about goals for this channel for marketing, whether it is likely to success, go through a specific example of a company dealing with this determination, what I recommended, and what you should do to determine if this is a good channel for your medical billing service.

    Medical Billing Pricing - Part 3

    Play Episode Listen Later Jan 28, 2025 10:22


    Part 3 of a comprehensive discussion around medical billing pricing, including pricing models, factors that influence pricing, trends, and forecasting future pricing. We even include some things rarely considered that are critical to pricing effectively and profitably. This is so long we needed to break it up into 3 parts. Spoiler - there will eventually be a Part 4.

    Low Priced RCM Clients - Are They Even Profitable?

    Play Episode Listen Later Jan 23, 2025 7:19


    Most medical billing companies do not look at profitability by client or by specialty. In this podcast we'll discuss an analysis I recently did for a client looking at both of these measures of profitability. The results were shocking and kind of appalling. Listen to find out how your RCM company might do this type of analysis and what to do when you don't like the results.

    Medical Billing Pricing - Part 2

    Play Episode Listen Later Jan 21, 2025 8:25


    Part 2 of a comprehensive discussion around medical billing pricing, including pricing models, factors that influence pricing, trends, and forecasting future pricing. We even include some things rarely considered that are critical to pricing effectively and profitably. This is so long we needed to break it up into 3 parts.

    Medical Billing Pricing - Part 1

    Play Episode Listen Later Jan 14, 2025 7:52


    The is a comprehensive discussion around medical billing pricing, including pricing models, factors that influence pricing, trends, and forecasting future pricing. We even include some things rarely considered that are critical to pricing effectively and profitably. This is so long we needed to break it up into 3 parts, this is Part 1.

    Marketing Offer Too Good to Be True

    Play Episode Listen Later Jan 9, 2025 11:05


    Marketing Offer Too Good to Be True

    Great Medical Billing Dashboards - Part 2

    Play Episode Listen Later Jan 7, 2025 6:28


    In our first part of this 3 part series, we discussed what dashboards are and when to make them. In this episode we'll get into the real nitty gritty details of what you need to do to make great RCM dashboards.

    Medical Billing Automation - Is It Legal with EHRs?

    Play Episode Listen Later Jan 2, 2025 10:07


    We recently did a podcast about whether EHR vendors stop you from doing medical billing automation to extract your data. One question was whether it was illegal to scrape data. In this podcast we do a real deep dive on legality and the contract language that may say you cannot extract data. Another question we hit is whether you can push data using medical billing automation. Check out our articles and automation capabilities at https://voyanthealth.io.

    What Makes Great RCM Dashboards?

    Play Episode Listen Later Dec 31, 2024 3:39


    Why are RCM dashboards so rarely done well? With so few people giving highly positive ratings of them? It's not like medical billing dashboards are new. In this podcast we'll walk through what a dashboard, when you should create one, and start to break down what makes great reporting.

    Can EHRs Stop Automated Scraping of Data?

    Play Episode Listen Later Dec 19, 2024 9:14


    A lot of organizations are scraping data (RPA automation) from their practice management PMS / EHR. This includes providers who want their own data and have issues with the system vendor, as well as RCM companies and software vendors like analytics platforms. But are they allowed to do this? Do EHR vendors have contracts that prevent this? Would that even be legal? Who owns the data legally and can an EHR company block access? We'll discuss these things and look at specific examples.

    Why is GenAI Taking Off Faster than Analytical AI?

    Play Episode Listen Later Dec 17, 2024 9:35


    What is GenAI (like ChatGPT) taking off faster than analytical AI (like machine learning ML) in medical billing? We'll discuss which has more value in RCM, the pluses and minuses of each, and some counterintuitive reasons why it is getting tested and adopted faster than ML AI.

    Medical Billing Advertising

    Play Episode Listen Later Dec 12, 2024 9:36


    What options are a good fit for medical billing advertising? We'll explore some of the most common options and whether they would benefit growing your medical billing company.

    Denials, Payer AI, and Assassination

    Play Episode Listen Later Dec 6, 2024 8:43


    The murder of the CEO of United Healthcare has re-ignited a discussion about denials and bad payer / insurance company behavior, and AI is at the center of it. We'll discuss UHC's denials AI, the broader application of AI in denials, whether it is problematic, and why. And finally a little on what you can do about it.

    RCM Marketing Strategy - Effective Targeting

    Play Episode Listen Later Dec 3, 2024 10:34


    Many still seem to struggle with effective targeting in the medical billing arena. So what are the levers or variables involved? How can you find a good target market to carve out a successful positioning and differentiation? We'll give you some suggestions on how to do this effectively.

    Medical Billing Advertising - Is TikTok Right for Your Business?

    Play Episode Listen Later Nov 26, 2024 5:39


    TikTok and other media platforms like Discord are really hot. Everyone is on them, right? Is advertising for medical billing on new media platforms a good call for your business? Listen to find out specifically about TikTok, but more broadly how we think about evaluating particular channels and media.

    Buying Medical Billing Leads - Numbers Deep Dive

    Play Episode Listen Later Nov 21, 2024 9:36


    Part 3 of 3 part series on buying medical billing leads. In prior episodes we discussed whether this is a good medical billing marketing strategy, then top tips for improving your results if you are going to do it, and this episode is a deep dive into the numbers. CAC, ROI, CLV, and more.

    What Is The Best Channel for Medical Billing Marketing?

    Play Episode Listen Later Nov 19, 2024 9:35


    I frequently get this question. In this podcast we'll dive into what is the "best" channel and what criteria are involved in determining the "best".

    Why Isn't Medical Billing Automation Taking Over?

    Play Episode Listen Later Nov 14, 2024 8:23


    Talk about technology, automation, and AI is everywhere in the medical billing industry, including around half the presentations at the HBMA this year. So why hasn't it taken over? Why are so few companies doing it and even then for such a small percent of the processes? Listen to find out, which should lead you to your solution.

    Buying Medical Billing Leads - 5 Tips to Succeed

    Play Episode Listen Later Nov 12, 2024 8:42


    In another podcast we have discussed why buying medical billing leads may not be the marketing strategy slam dunk people think it is. But if you are going to do it, we'll give you the top 5 tips to succeed doing it (or at least significantly improve your results).

    Claim Healthcare RCM Analytics

    In order to claim this podcast we'll send an email to with a verification link. Simply click the link and you will be able to edit tags, request a refresh, and other features to take control of your podcast page!

    Claim Cancel