End-to-end revenue cycle management: built for scale
AI that learns your revenue cycle and compounds performance over time
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
Hospital margins are under structural, compounding pressure
Rising denial rates, Medicaid coverage volatility, and AI-powered payer systems are creating a revenue crisis that incremental staffing cannot solve
90%
Nine in ten denied claims require human reworking before submission — manual firction that staffing cannot scale.
Experian Health, State of Claims 2025
68%
Over two-thirds of providers say clean-claim submission is harder than a year ago — an upstream data-quality failure that staffing cannot fix.
Experian Health, State of Claims 2025
8.8%
Hospital reimbursement from Medicare Advantage fell 8.8% on a cost basis since 2019: a structural payment-model gap that headcount cannot close.
AHA, Persistent Economic Challenges
PROVEN OUTCOMES
Large-system results. Held under pressure.
Proven financial and operational results across provider organizations
20.5%
enrollment surge
A large acute-care nonprofit hospital ran omnichannel Medicaid outreach with us, and uncovered patient numbers dropped by 93% within three months.
40%
denial reduction
We deployed a propensity-to-deny model and business rules for a community critical access hospital system. This addressed a 22% initial denial rate across their network.
35%
days reduction
We led an accounts receivable transformation for a health system, lifting daily account closures by 50%. The program also delivered a reduction in annual cost to collect.
~35%
reduction
We ran a digitally enabled Medicaid eligibility screening and coverage discovery program. It identified an average of roughly 230 covered patients per month per client.
Revenue Lifecycle Solutions for Health Systems and Hospitals
Protect your revenue at every potential point of leakage
From the first patient encounter to the last dollar collected, we close the gaps where hospital revenue quietly disappears.
Patient access is where hospital revenue is won or lost. We help providers secure coverage earlier, accelerate financial clearance, and reduce downstream denials through AI-enabled workflows, onsite expertise, and omnichannel patient engagement.
- Bedside Medicaid eligibility screening with real-time redetermination support
- Emergency room financial clearance with multilingual patient outreach
- AI-powered prior authorization with peer-to-peer coordination
- Charity care screening across Medicaid, CHIP, and special programs
- High pre-registration and registration accuracy to protect downstream claims
Complex inpatient coding is where hospitals lose revenue silently.
We combine certified coders with autonomous coding AI and AI copilots to improve coding accuracy, accelerate turnaround, clear backlogs, and capture revenue that conventional point-solution vendors often miss.
We combine certified coders with autonomous coding AI and AI copilots to improve coding accuracy, accelerate turnaround, clear backlogs, and capture revenue that conventional point-solution vendors often miss.
- High-accuracy inpatient coding with rapid post-discharge turnaround
- Clinical documentation and severity validation for complex inpatient encounters
- Autonomous coding AI for high-volume eligible encounters
- Risk adjustment coding to improve capture across the patient population
High denial rates, aging accounts receivable, and self-pay balances quietly erode hospital revenue.
We help health systems improve reimbursement through AI-powered denial prevention, faster appeals, and targeted revenue recovery, delivering stronger net collections and accounts receivable performance.
We help health systems improve reimbursement through AI-powered denial prevention, faster appeals, and targeted revenue recovery, delivering stronger net collections and accounts receivable performance.
- AI-powered denial prediction for high-risk claims before submission
- AI-assisted appeals with faster turnaround
- Net collection and aged accounts receivable performance against your targets
- Transfer-case and payer underpayment recovery to reduce revenue leakage
CLIENT SPOTLIGHT
400K recovered through Medicaid
Staffing shortages and manual eligibility processes were driving uncompensated care and delayed coverage verification. We implemented omnichannel patient outreach, digital eligibility workflows, and bedside enrollment capabilities to accelerate coverage determination and improve financial outcome with $1.9M worth in cases resolved.
500+
patient accounts approved
Capabilities Powering Provider Operations
Encoded operational excellence for hospitals and health systems
Take advantage of best practices across capabilities that cuts across industry-segments, domain nuances, and owns operational accountability for the nuanced and scaled operations of hospitals and health systems.
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Consulting and advisory
We assess your revenue cycle, redesign the workflows, then stand up the operating model that turns recommendations into measurable revenue for your health system.
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Customer experience
We assess and redesign patient access, from scheduling to eligibility to prior authorization, then run it, so patients across your facilities reach care sooner and revenue starts clean and denial-free.
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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.
Case Study
Community health system improves patient collections by $1.5M annually with automation
Improve cash flow by eliminating an increasing backlog of claims requiring appeals and rework, and reduce related costs to collect. We implemented robotic process automation (RPA) in just three weeks to reduce time to appeal for disputed claims, eliminate a disputed claims backlog, and ensure an efficient ongoing workflow.
CONTACT US
Solve for the leak, before it becomes a leak
Talk to a revenue cycle leader today: we will map your cycle gaps and share a targeted transformation plan that operates inside 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