One partner. Your entire revenue cycle.
Firstsource unites patient front-end access, mid-cycle revenue integrity, and back-end revenue recovery in one AI-powered operating model, serving hospitals, health systems, and specialty practices.
80+
health systems with >$1B net patient revenue
350+
healthcare clients nationwide
1,000+
hospitals & physician practices served
40+ years
of RCM domain heritage (MedAssist)
Everest Group
Featured IT/BPM Provider 2025 – Operationalizing Generative AI in Healthcare
Everest Group PEAK Matrix®
Major Contender 2026 – Revenue Cycle Management Intelligent Operations
Everest Group PEAK Matrix®
Major Contender 2024 – Revenue Cycle Management Operations
Everest Group PEAK Matrix®
Star Performer 2024 – Revenue Cycle Management Operations
WHY THIS MATTERS
The forces bleeding provider margins
Hospitals face a perfect storm. Rising denials, staffing shortages, and billing complexity are squeezing margins and consuming administrative cycles —leaving less time for care.
Denial $ Drain
~14%
The average denied inpatient and outpatient claim amounts rose 12% and 14% respectively YoY, placing revenue resolution burdens on providers.
Fierce Healthcare Vendor Data Show, 2025
Denials Overturned
$18B
Nearly $18B was spent by hospitals to overturn denied claims alone. AHA estimates that $43B was spent to collect what health plans owed.
AHA Costs of Caring Report, 2026
Front Door Failures
68%
Provider survey respondents report inaccurate or incomplete patient data at intake is a leading driver of denials, and the administrative burden lands squarely on providers.
Experian Health, The State of Claims, 2025
Tech Debt
56%
Only 56% of providers say their current claims technology actually meets revenue cycle demands, which is a stark gap between AI's promise and its delivery.
Experian Health, The State of Claims, 2025
Rising Costs
7.5%
Hospital expenses have grown 7.5% in 2025, and the pressure to keep care affordable and accessible is becoming harder by the month.
AHA, Costs of Caring Report, 2026
PROVEN OUTCOMES
Our results hold true across every engagement
Our outcomes come from live operations and active client engagements, not projections. They hold because our Transform-Implement-Operate model is built for exactly these pressures.
<4.8%
denial rate
For a top radiology billing company, our AI-enabled denial engine held rates to below 4.8%, while maintaining coding denials below 2%.
+44%
cash collections
In a long-term provider collections engagement, recovery improved 44% over baseline, with days in open receivables held below 45 days
40%
reduced denials
AI-powered process transformation for a critical access community hospital reduced documentation and COB denials by 40%.
~35%
reduction
Across our provider portfolio, our end-to-end revenue lifecycle transformation efforts saw 30%-35% reduction in uncompensated care.
Revenue LIfecycle Solutions
End to end revenue cycle management solutions
The Firstsource Revenue Command Center delivers end-to-end optimization—patient access through A/R, denials and collections. Deep revenue cycle expertise combined with AI automation. Centralized intelligence. Real-time visibility. Performance-guaranteed outcomes.
Prevent denials at the front door
Prevent denials before the first claim is submitted. Eight integrated modules — from scheduling and eligibility to prior auth, registration, and pre-service collections — unified by a shared patient access intelligence layer.
Every code right. Every dollar captured.
Five integrated modules - medical coding, CDI, charge capture, compliance audit, and computer-assisted coding built on a shared coding accuracy engine, delivering accuracy across millions of charts with autonomous agents and copilots.
Recovery that shows up on your balance sheets
Insurance A/R follow-up, denials management and appeals, self-pay early out, bad debt recovery, credit balance resolution, transfer DRG recovery, and payer underpayment recovery are connected through a shared propensity intelligence layer.
CLIENT SPOTLIGHT
Fewer denials. More revenue. Proven at scale.
Integrated denial prevention, analytics, and intelligent workflows drive results.
A critical access hospital system with multiple hospitals and hundreds of provider locations was experiencing a high initial denial rate, with contract-related issues driving almost ~90% of those denials. We deployed our AI-powered predictive engines and intelligent business rules. Within a short period, denials were reduced, and coordination of benefits and documentation denials fell by 40%
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$2M
denied charges recovered
WHO WE SERVE
Built for every provider
Three distinct delivery models serving health systems, physician and specialty practices, and aggregators, each with its own operating approach and revenue cycle priorities.
Hospitals and health systems
Hospitals and health systems need scale, consistency, and operational rigor across front, mid, and back, with onshore staffing, Medicaid eligibility at the bedside, ER financial clearance, and denial management built for acute care environments. We partner to re-imagine the process, end-to-end, or in parts to improve revenue and margins.
Physician and specialty practices
Every specialty and physician office bills differently, balancing patient experience with administrative burden. We share the load with right-shoring, coding-led revenue cycle management for multi-specialty groups, IPAs, behavioral health, radiology, ASCs, and DME/HME providers, from charge capture through collections.
Billing and platform companies
Our human + AI + technology operating model thrives here. We power revenue cycle management for 400+ practices across 30+ specialties and 40+ practice management and electronic health record systems. We embed into your system, scaling revenue operations without adding vendor complexity.
CUSTOMER STORY
50% faster account closures for a leading health system
AI-powered training acceleration, and real-time analytics drove revenue cycle performance while reducing costs.
A leading health system faced declining revenue, growing claims backlog, rising AR days, and staff shortages. We deployed Epic-skilled teams, leveraged AI copilots to accelerate training, and enabled real-time analytics oversight. The result: a 50% increase in daily account closures, 35% reduction in AR days, coding backlog cleared in 3 months, and $4M annual cost-to-collect savings.
How Firstsource Delivers Value
Unlock the operating system that compounds healthcare provider intelligence
Discover Kairos, the operating system that encodes 25+ years of provider expertise. Prevent denials at front-end, catch coding errors mid-cycle, accelerate collections—drive sustainable margin recovery.
Transform
Rethink your revenue operating model. Designed from the ground up for AI-native patient, claims, and revenue operation.
Implement
Intelligence embedded in revenue cycle workflows and provider systems — decision engines and AI agents running in production across the lifecycle.
Operate
We underwrite and own the outcomes. A human-plus-AI workforce stands behind the numbers, getting smarter with every revenue cycle workflow.
TECH ENABLED
Technology that compounds your team's expertise
Your team gets smarter with every claim. AI handles routine work. Humans focus on exceptions. The result: faster decisions, lower costs, higher accuracy.
RECOGNITION & AWARDS
Consistent performance wins recognition
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Everest Group PEAK Matrix®
Major Contender and Star Performer in Everest RCM Operations PEAK Matrix® 2024
Everest Group PEAK Matrix®
Major Contender in Everest RCM Intelligent Operations PEAK Matrix® Assessment 2026
Capabilities Powering Provider Operations
Best practices built into your operations
Take advantage of proven approaches informed by deep expertise across industries. Tailored to your organization's unique needs, each capability delivers measurable operational results.
Consulting and advisory
Undercoded claims, vendor sprawl, and misaligned models erode margins. We assess, benchmark, roadmap, turning diagnostics into measurable RCM outcomes
Customer experience
We assess and redesign patient access, from scheduling to eligibility to prior authorization, then run it, so patients reach care sooner and revenue begins clean and denial-free.
Proof of Delivery
Outcomes we stand by
Every number below comes from contracted delivery data: measured against real client baselines, showing modeled projections in real operations.
+$1M
recovery added
A healthcare provider partnered with us to recover near-daily revenue across physician practices — through specialist-aligned billing, denial prevention, and structured appeals.
85%
coded in 48 hours
A radiology company leveraged us to ensure that 85% of all charts were coded and billed within 48 hours of receipt, while maintaining 99% first-pass ratio.
14%→7%
denial reduction
One health system transformed a reactive, resource-constrained denials function into a proactive, data-driven operation, using clinical SME review, AI-powered automation, and real-time analytics.
WHY FIRSTSOURCE WINS
What teams try. What actually works.
A direct comparison from the revenue cycle operations seat : six patterns that repeat, and what changes when the Revenue Command Center operates instead.
WHAT TEAMS TRY
WHY IT FAILS
WHAT CHANGES WITH FIRSTSOURCE
Add a point solution per problem
40+ RCM vendors per health system creates siloed data, diffused accountability, and no shared root cause analysis.
We have a shared analytics layer with single-point outcome accountability and contractual performance guarantees.
Manually appeal denied claims
Average manual appeal preparation takes 45 minutes. 65% of appeals are missing key documentation. Health plans' AI denies in seconds.
Agentic automation compresses appeal preparation with a higher than industry appeal success rate and denial overturn rates.
Rely on in-house coding teams
High annual coder turnover disrupts production. Manual coding introduces accuracy gaps that translate directly into coding denials and compliance exposure
Our autonomous coding delivers 95%+ accuracy across 30M+ charts annually.85% coded within 48 hours, coding denials sustained below 2%.
TRUST & COMPLIANCE
Built inside the rules
We operate within every regulatory framework our clients face: not around it, not despite it.
HIPAA
SOC 2 Type II
ISO 27018
ISO 27017
PCI DSS Level 1
ISO 27001
INSIGHTS
Latest from the Firstsource team
Insights from the field, real operations, real outcomes, and perspectives from the people making it work in live operations.
Ready to Transform?
Solve for the leak, before it becomes one
Talk to a revenue cycle leader today. We'll pinpoint where your revenue is leaking and bring back a transformation plan built to work within your operations.
- A focused conversation with a domain expert: not a sales handoff.
- Specific analysis of your denial rate, AR profile, and cost-to-collect: not a generic demo.
- A clear view of where the Revenue Command Center would change your numbers.