How to Choose an RCM Partner

Ten Questions to Ask

Use this list to compare billing companies fairly.

Who will actually work on my account?

Ask for a named contact and how the team is organized, not just a sales answer.

How do you handle denials and old A/R?

A good partner has a clear, repeatable process and reports on results, not only on submissions.

What reports will I receive, and how often?

Look for collections, denial trends and A/R aging by payer on a set schedule.

How is patient data protected?

Expect HIPAA-compliant processes and a Business Associate Agreement before any data is shared.

Which systems can you work in?

Confirm they can work inside your current EHR or practice management software.

How is pricing structured?

Understand whether fees are a percentage of collections or fixed, and what is included.

What happens during onboarding?

Ask for a clear timeline, who does what, and how you will be kept informed.

How do you handle credentialing and eligibility?

A full-RCM partner should cover front-end work, not only claim submission.

How do you keep up with payer and code changes?

Ask how the team is trained and how updates reach the people doing the work.

How easy is it to reach you?

Test responsiveness before you sign. How they treat you now is how they will treat you later.