What Should You Ask Before Outsourcing Your Healthcare RCM?

Outsourcing RCM isn’t just a financial decision. For many healthcare organizations, it’s the key to unlocking smarter operations and long-term scalability. But with dozens of vendors promising “better outcomes” and “seamless workflows,” how can you tell which one is right for your organization?

Simple — ask smarter questions.

Outsourcing revenue cycle management (RCM) is a big decision, and the stakes are high. Choosing the wrong partner can slow down reimbursements, introduce compliance risks, and create new inefficiencies. The right partner, however, can transform your operations, reduce costs, and help your team focus on delivering exceptional patient care.

Here are five essential questions every healthcare leader should ask before outsourcing their RCM — and how Jorie AI delivers at every step.

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1. What technology powers their RCM solution?

Not all automation is created equal. Some vendors claim to offer cutting-edge technology but still rely heavily on manual processes behind the scenes.

At Jorie AI, our solutions are powered by adaptive AI agents — intelligent automation that continuously learns from your data, aligns with your workflows, and works like a digital employee. From real-time claims processing to denial prediction and task routing, our tech is built to drive measurable results, not just check boxes.

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2. How do they handle prior authorization?

Prior authorization is one of the biggest operational bottlenecks in healthcare — and most RCM vendors treat it as a minor feature rather than a core competency.

At Jorie AI, it’s one of our specialties. Our automation technology is designed to manage the complexity of prior auth at scale. We reduce manual work, accelerate approvals, and close the gaps that delay care and disrupt cash flow. It’s not just efficient — it’s transformative.

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3. Will the solution scale with you?

You need an RCM partner that grows with your organization — not one that stalls your progress. Ask how their solution handles changes in volume, service lines, or complexity.

Jorie AI’s architecture is designed for scalability. Whether you're a critical access hospital or a large multi-system network, our platform adapts to your needs without sacrificing performance or flexibility. Growth shouldn’t be painful — it should be built in.

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4. How transparent is their reporting?

Visibility is power. You can’t manage what you can’t see — and many providers are left in the dark when it comes to outsourced performance metrics.

Jorie AI delivers real-time dashboards, customizable reports, and detailed analytics that provide complete transparency into your RCM operations. From denial trends to staff productivity insights, our tools give you the data you need to make informed decisions.

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5. How do they ensure compliance and data security?

RCM partners are handling protected health information (PHI), sensitive financial data, and critical compliance tasks. You need to know their security protocols are airtight.

Jorie AI operates with a compliance-first mindset. We meet HIPAA and SOC 1 and SOC 2 standards, use encrypted infrastructure, and implement strict access controls across our platform. We don’t just check the boxes — we build trust through transparency and vigilance.

Final Thoughts

Outsourcing your revenue cycle isn’t just a financial decision — it’s a strategic one. By asking smarter questions, you’re not just finding a vendor. You’re finding a partner that understands your mission, strengthens your operations, and brings the right mix of technology and expertise to the table.

At Jorie AI, we don’t believe in one-size-fits-all. We believe in building scalable, intelligent solutions that adapt to your needs, automate your workflows, and deliver results you can measure.

Want to explore whether Jorie AI is the right fit for your organization? Contact us for a customized walkthrough of our platform and approach.