Blog

Tag: EHR

Clean-Claim Rate as a Customer Retention Lever

PM vendor churn is rarely about the software. It is about the outcomes the software drives. First-pass acceptance rate is one of the most visible outcome metrics on that list.

A Portal Is Not a Clearinghouse

Portal-based claim submission works for a handful of payers. It breaks around payer 15 to 20. Here is what real multi-payer submission requires, and when platforms outgrow the portal approach.

Build vs Buy the Clearinghouse Layer

Every PM and EHR platform eventually faces the build vs buy decision on payer connectivity. Here is a framework for evaluating both paths, including the hidden costs vendors rarely price in.