Your revenue cycle, run as one intelligent back office
Firstsource runs your revenue cycle as one intelligent back office, from patient access and prior authorization to coding, denials, receivables management, and collections. It's one AI-enabled operating system that replaces point vendors, backed by performance guarantee. More net revenue, lower cost to collect, no added headcount.
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
AI in the revenue cycle is moving from pilot to production, but governance needs work
Providers are adopting AI and attention must be paid to governance and how it is getting integrated into the full revenue lifecycle. The value is real, but capturing it takes an operating partner, not another point tool.
AI ADOPTION
88%
88% of health systems are already using AI internally, and 71% have moved past exploration to deploy pilot or full solutions across finance, revenue cycle, and clinical functions.
HFMA and Eliciting Insights, Health System Readiness for Artificial Intelligence, 2025
THE REVENUE CYCLE PRIZE
30% - 60%
AI enablement of the revenue cycle could reduce cost to collect by 30% to 60%, speed up cash realization, and refocus staff on higher-value work.
McKinsey, Agentic AI and the Race to a Touchless Revenue Cycle, January 2026
Governance outpaced
18%
Just 18% of health systems have a mature AI governance structure and a fully formed strategy. Nearly 80% say an established vendor partner holds a significant advantage over a new entrant.
HFMA and Eliciting Insights, Health System Readiness for Artificial Intelligence, 2025
PROVEN OUTCOMES
The pressure is real. So are the results.
Live outcomes from provider RCM operations — denial rate, AR days, uncompensated care, and cash velocity.
$2M
denied charges recovered
Predictive analytics and a propensity-to-deny model flagged high-risk claims for a mid-west community hospital network. Denied charges fell by $2M in nine months, with a 40% drop in coordination-of-benefits and documentation denials.
~98%
first-pass accuracy
Intelligent automation replaced manual coding for a billing company, using an AI autonomous coding platform and payment-posting bots. It now sustains a 98% to 99% first-pass ratio, with coding denials under 2% and overall denials under 4.8%.
15%
collections lifted
Digital and omnichannel engagement combined SMS, email, and self-service payments with AI propensity-to-pay scoring for a large academic health system. Collections rose about 15% within six months and patient satisfaction passed 98%, with no added headcount.
$29.6M
recovery opportunity found
Business process optimization and governance reset the chargemaster, coding, and internal controls for a regional health system. The end-to-end assessment identified $29.6M in charges at risk or recoverable and billing errors, with an 18-month roadmap.
DEEP DOMAIN SOLUTIONS
Multiple layers of intelligence, running as one operation for middle and back office processes
Every layer is a distinct stage in how work moves through your revenue cycle, connected from intake to outcome and accountable for the result.
Intake and capture
We capture and route patient access documents, coding queries, clinical documentation, and prior authorization forms across every format and channel, supported by independently certified data handling that keeps clean information flowing into the revenue cycle from the first patient touch.
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Processing and adjudication
We validate every machine-generated code against recognized national coding standards and apply automated business rule checks before submission, which sustains a 98% to 99% first pass rate, holds coding denials below 2%, and keeps the overall denial rate under 4.8%.
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Operations delivery
We support more than 1,000 providers with blended teams of revenue cycle specialists and certified coders across hospitals, physician practices, and billing companies, and we run the Revenue Command Center for providers, management groups and aggregators with human oversight throughout.
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Intelligence and optimization
We apply live process intelligence across coding, claims, and denial cycles, where artificial intelligence models flag denial and late payment risk before it reaches accounts receivable and surface millions in savings drawn from real operational event data.
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Agentic operations
Artificial intelligence denial management and agentic prior authorization routing now manages key back office functions where task models and vertical workflows handle routine authorizations and escalate the complex cases to experienced specialist teams for review.
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Governance and assurance
We build oversight into every layer with documented decision trails, configurable approval points, and continuous quality review, so automated work stays explainable and audit ready, autonomy expands only as performance earns it, and accountability for the outcome rests with us.
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Medical coding
We code more than 30 million charts each year, pairing autonomous coding engines with certified human coders to assign accurate diagnosis and procedure codes across every clinical specialty, sustaining high first pass acceptance and holding coding-related denials consistently below 2%.
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CLIENT SPOTLIGHT
98%–99% first-pass coding accuracy for a billing company
Intelligent automation replaced manual coding in the back office. An AI autonomous coding platform and payment-posting bots code and bill claims at scale, holding coding denials under 2%.
A radiology billing company depended entirely on manual coding, which missed SLAs, drove rework and rising administrative cost, and let revenue and margins slip. Firstsource automated the back-office coding operation with an AI autonomous coding platform and bots for electronic payment posting.
85%
charts coded and billed within 48 hours
WHO WE SERVE
Three provider models. Each one built differently.
Hospitals, physician practices, and billing companies run different operations, different payer mixes, and different margin pressures. Generic RCM models fail all three.
Hospitals and health systems
Predictive denial management built for care
Firstsource runs the end-to-end revenue cycle for high-volume acute care, combining onshore delivery, bedside Medicaid eligibility, ER financial clearance, and AI denial prevention to shrink denied charges across every payer type.
Physician groups and specialty practices
More specialties run on one coding engine
Firstsource powers coding-led revenue cycle for multi-specialty groups and specialty practices nationwide, pre-scrubbing claims inside the EHR to lower denial rates and reduce receivables' days across every specialty and payer you manage.
Billing platforms and companies
A revenue cycle backbone that scales with you
Firstsource operates as your management backbone across acquired practices and client portfolios, coding claims at scale, running your workflows, and controlling receivables and denials at industry-leading benchmarks without rebuilding operations.
CUSTOMER STORY
$2M in denied charges recovered for a critical access hospital
A critical access hospital was running a 22% initial denial rate, with contract-related issues driving most denials and billing and registration teams generating recurring errors. Leadership had limited visibility into root causes across payers and departments, and federal and commercial payments took about 20 days.
Firstsource ran root-cause analysis to isolate the key denial drivers, built a propensity-to-deny model to flag high-risk claims before submission, and deployed 100's of automated business rules. Denied charges fell by $2M , and coordination-of-benefits and documentation denials dropped by 40%. Predictive analytics re-engineered the back-office denials operation, cutting documentation denials by 40%.
Firstsource ran root-cause analysis to isolate the key denial drivers, built a propensity-to-deny model to flag high-risk claims before submission, and deployed 100's of automated business rules. Denied charges fell by $2M , and coordination-of-benefits and documentation denials dropped by 40%. Predictive analytics re-engineered the back-office denials operation, cutting documentation denials by 40%.
TRUST & COMPLIANCE
Compliance built in from the first document
Every IBO engagement is architected inside the relevant regulatory framework from day one.
Regulatory frameworks
CFPB / RESPA (US)
HIPAA (US)
GDPR (UK / EU)
HITRUST CSF
CMS compliance
ICD-10 / CPT / HCPCS coding standards
Certifications
HITRUST CSF
SOC 2 Type II
ISO 27001
ISO 22301 BCMS
PCI DSS V3.2
SSAE 16 (SOC 1 Type II)
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.
INSIGHTS
Your denial rate and days in receivables are a intelligent operations problem
Diagnosed from your actual coding, claims, and denial data—not a generic RCM audit.
- Diagnosed by operators running RCM for 1,000+ providers—not advisors reviewing your accounts receivable report.
- Savings fund the engagement—priced on the denial rate reduction and AR days improvement it delivers.
- Production-grade operations from day one—not a pilot program dressed as a transformation.