top revenue cycle companies

RCM Software Vs. RCM Outsource: Which Is Better?

Healthcare facilities are now opting for smart ways to better their operations. Right from managing billing to claims to collections, they want everything to be done in a matter of minutes while maintaining utmost accuracy.

The two popular ways to level up your healthcare facility are to either leverage the power of RCM software or prefer RCM outsourcing. You might be wondering what these two are and how they differentiate from each other.

Well, in this post, we will give you a complete understanding of both along with the differences. Our whole focus is to help readers like you make the ideal choice.

Let’s get started without wasting another minute:

What Is Revenue Cycle Management?

The process through which medical practitioners receive payments from patients and insurance for services performed is known as revenue cycle management. It covers every step, from documenting those services to obtaining the last payment or refund. RCM is crucial when it comes to both a healthcare facility’s financial stability and patients’ bill-paying experiences.

Introducing RCM Software

RCM software comes in a variety of forms and is intended to assist healthcare providers in tracking and managing their revenue cycle and services. The finest RCM software automates much of the billing process, updates associated accounts, and follows up with billing reminders.

However, the software can become problematic due to incorrect configuration or user error. Additionally, relying excessively on software that may or may not be updated regularly increases the risk of misfiling or miscoding claims.

Having the right people to manage your accounts is more beneficial than forcing your staff to manage everything manually.

RCM software is designed to offer quick turnarounds, simple payment processing, and fewer overhead expenses, but it still depends on your team’s capability and competence to manage your revenue cycle properly.
Although many practices are successful with in-house RCM software, there are situations when outsourcing your RCM makes sense.

Introducing Outsourced RCM

When some professional service providers use its resources, tools, and labour to take over the complete revenue cycle process, it is what is known as “outsourced RCM.” With expert help, you will ensure your staff is free to concentrate on one goal i.e. providing patients with the best quality care and treatment.

Although many healthcare practitioners are hesitant to provide sensitive or vital information about their business, they take essential measures to protect data to ensure complete peace of mind and ensure HIPAA compliance at every turn

RCM Software Vs RCM Outsource: WHICH IS BETTER?

For small and mid-size healthcare service providers, outsourcing your coding and billing is financially advantageous. Outsourcing your medical coding and billing ensures you will receive a high level of expertise and professional experience.

You will get all the advantages of having in-house personnel without thinking much about your expense and exposure. Because they provide you with the same levels of transparency and control, third-party coding and billing businesses are a win-win situation for smaller practices:

By outsourcing RCM, you can access a variety of personalized performance and financial reports in real-time that are frequently more advanced than those provided by internal practice management software systems.
They know your specifics and keep up with developments that have an impact on your reimbursement. Most have extensive experience in your area of expertise, giving you access to more coding and business knowledge.
Outsourced billing specialists have an extensive and in-depth understanding of the sector, giving you an advantage when negotiating. They also have experience assessing payer contracts, adding an extra degree of security.
Healthcare facilities’ cash flow is heavily reliant on insurance and medical reimbursements. Therefore, timely and error-free reporting of medical bills is crucial.
Your clinic can boost its profitability by outsourcing medical billing responsibilities to a reputable medical billing company. An expert will enable you to submit claims for reimbursement on time.

The following are some more ways that professionally developed medical billing solutions might help your clinic become profitable:

You may submit medical bills and insurance claims without any errors within the allotted time frame because the billing and claim processing activities are handled by professionals. It is possible to reduce the likelihood of claim rejections and denials while increasing the income and profit of your practice.
By outsourcing your medical billing work, you can significantly reduce the expense of setting up the hardware, software, and infrastructure necessary for your practice’s internal billing processes. Additionally, you can save money by not having to pay for additional accountants, billers, and coders in addition to paying salaries and offering other comprehensive benefits to employees.
Your administrative workload is decreased by outsourcing medical billing. With remarkable efficiency, you can focus on your core talents, which greatly boosts productivity and enables your practice to advance to the next level of profitability and patient care.

Customized Medical Billing Services

A well-established medical billing company provides customised services such as:

Patient enrollment
Insurance verification
Patient scheduling and reminders
AR management
Coding and audits
Insurance authorizations
Insurance enrollment
Financial management reporting

Why Outsource Your RCM To Virtual Oplossing Healthcare?


With the top revenue cycle companies, you can help your clinic submit medical claims on time and become more profitable. Furthermore, such a reliable firm can effectively serve as the back office of your establishment, offering complete services at reasonable costs.


Our team is committed to revenue cycle management and proactive in keeping up with coding standards and regulatory changes. When it comes to understanding your revenue cycle, we also offer the personal touch that even the best RCM software dashboards might not be able to offer. 


Additionally, we’ll be in charge of all patient and payer communications related to billing and claim reimbursement. At Virtual Oplossing Healthcare, we understand that medical and health care is driven through innovation, quality, and guidelines. We are one of the top RCM companies in the USA that helps healthcare practitioners achieve higher cash flow. 


Reach us to simplify your healthcare facility.