Should You Keep RCM in House or Leverage RCM as a Service?

When talking about RCM, we often hear the discussion of whether RCM should be kept in house or whether you should work with a partner to receive RCM As a Service.  Like most questions in life, the answer to this question is that it depends.  Medical practices that have a great RCM leader that’s doing a great job making sure they’re paid every dollar they deserve are fine to do it in house.  However, what happens when that leader leaves?  What happens when your medical billing staff leave and you’re faced with the challenging task of replacing them?  What if your collections fall off over time?  The trend I see happening across the nation is the move to RCM As a Service because it’s really hard to do RCM in house effectively.  Plus, finding the right RCM staff makes this even harder.