Turn every claim into captured revenue
AI-powered intelligence helps you prevent claims denials, billing errors, and collections delays before they drain your cash flow.
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
Rising denials and cost of recovery are squeezing margins and revenue
Rising denial rates, patient financial burden, and fragmented recovery operations are creating compounding revenue leakage that no amount of manual follow-up can close.
Rising Bad Debt
10%
increase in bad debt
Hospital bad debt and charity care sit roughly 40% above 2022 levels. Provider balance sheets absorb that.
Kaufman Hall, National Hospital Flash Report, 2025
Denials Overturned
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$18B
spent on claims appeals
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
Denials accelerating
1 in 5
claims denied
ACA marketplace insurers denied 19% of in-network claims. Denial rates ranged from 3% to 36% across insurers.
KFF, ACA Marketplace Plan 2024
PROVEN OUTCOMES
Revenue recovery that respects patient hardships
We set up the systems that recover hundreds of millions across the revenue lifecycle, with faster cash and fewer write-offs.
$600K
incrementally collected for a trauma center
>70%
denial overturn rates achieved across providers
60%
reduction in cost to collect for an EHR billing company
40%
denial category reduced at a critical access hospital
Revenue Recovery Solutions
The operational reality: AI works inside the recovery
Not beside it. The Revenue Command Center puts AI to work across the recovery cycle, turning signal into recovered cash.
Payers now issue denials at submission speed, and manual appeals workflows cannot keep pace. We use AI to identify high-risk claims and generate appeal packages automatically, so resolution moves faster and clinical staff stay focused on complex overturns.
- Nightly payer policy sync for compliance accuracy
- Root cause analytics feeding upstream denial prevention
Insurance accounts receivable is a volume and velocity problem, and aged accounts lose collectability fast. We automate routine payer status checks and sequence every account by recovery probability, so the highest-yield accounts are always worked first and underpayments surface before they become permanent leakage.
- Targeted recovery on zero-pay and denied claims
- Dedicated escalation on aged and high-balance accounts
Much of what becomes bad debt is predictable at discharge, which makes it preventable. We segment patients by ability to pay at the point of service and route each to the right path, intercepting balances through omnichannel outreach before they age into write-offs.
- Installment plans matched to patient circumstances
- Charity care and Medicaid screening for every patient
Bad debt is not a write-off. It is a recoverable asset for health systems that work with the right portfolio intelligence. We apply digital-first workflows and charity re-screening to maximize liquidation, reclassifying accounts that should never have reached bad debt before they are written off.
- Portfolio scoring by recovery probability
- Compliance held to federal and state collection standards
WHO WE SERVE
AI-driven recovery expertise for diverse provider types
We tune every recovery model to the denial patterns, payer mix, and margin pressures of your setting.
Hospitals and health systems
We manage high-volume denials, follow up on insurance AR regularly, and integrate the Medicaid eligibility across large inpatient portfolios.
Physician groups and specialty practices
We deliver coding-first denial management and receivables follow-up for multi-specialty groups and billing aggregators, on a transaction basis.
Billing and platform companies
We prevent denials and manage patient receivables across multiple provider clients. One operating model, consistent intelligence at scale.
Community Hospitals
Defend operating margins
We run denial analytics and root-cause programs built for thin operating budgets. Targeted modeling predicts which claims a payer is likely to deny.
Academic medical centers
Recover complex claims
We integrate coding and denials, recover transfer cases, and identify underpayments. The program is built for multi-payer academic and safety-net facilities.
Ambulatory surgical centers
Sharpen specialty recovery
We provide specialty-specific denial management for radiology, orthopedic, and surgical centers. Claim-level accuracy is backed by payer-specific appeals expertise.
Customer story
Fix denial root causes before they become write-offs
Denied charges reduced by approximately 40% in coordination of benefits and additional documentation categories.
A large critical access hospital system with more than 200 locations and approximately $4.5B in patient revenue was experiencing denial rates that were materially affecting reimbursement performance.
We helped the organization strengthen its denial management approach through improved visibility, operational controls, and process optimization.
Results: Denied charges were reduced by approximately 40%, creating lasting improvements in revenue cycle performance and reimbursement outcomes.
We helped the organization strengthen its denial management approach through improved visibility, operational controls, and process optimization.
Results: Denied charges were reduced by approximately 40%, creating lasting improvements in revenue cycle performance and reimbursement outcomes.
PROOF OF DELIVERY
Provider recovery transformation that lives in operations
Our connected approach to revenue cycle management delivered measurable outcomes.
55%
denial rate reduction
We achieved a 55% denial rate reduction for a US EHR services provider with our platform.
$600K
added
Our program added about $600,000 in incremental cash for a Level 1 trauma center.
$2M
charges recovered
Our connected approach to revenue cycle management delivered measurable outcomes.
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.
contact us
Margins can hold steady, even with rising denials
Initate a discovery conversation to identify where revenue is slipping and we will show you which service line moves first, and how.
- An operator diagnoses your revenue cycle, not an advisor who hands off the work.
- The program is built around your payer mix and your electronic health record system, not a generic model.
- Pricing is tied to recovery and outcomes, not to headcount.