Revenue Cycle Management
Community strong, financially smart.
The future of revenue cycle management is being shaped by organizations that turn intelligence into action. MEDITECH's industry-leading Revenue Cycle solution helps healthcare organizations navigate rising cost pressures, shifting payment models, and workforce challenges with confidence.
Driving cost-effective care through transparency and connection
A stronger revenue cycle doesn't just improve margins — it connects every point of care. When clinical, financial, and payer systems are unified, staff regain valuable time to dedicate to patients so they can enjoy a smoother care journey.
MEDITECH Expanse delivers workflows that support real-time decision-making across the revenue cycle, from first contact through final payment.
Simplify and Automate for Staff
Maximize the effectiveness of staff by providing intuitive tools and simplified, automated workflows:
- Bolster your denial prevention strategy with ePrior Authorization that leverages real-time FHIR-based provider access APIs and integration with intermediaries/payors.
- Break down silos between clinical documentation, coding, and billing to support cleaner claims and stronger first-pass yield.
- Streamline documentation and coding workflows to support faster reimbursement and accelerate cash flow with fewer downstream corrections.
Improve the Patient Experience
Increase transparency, flexibility, and convenience, providing your patients with the consumer experience they expect:
- A Digital Front Door strategy that boosts patient experience with access and scheduling APIs that empower patients to manage information/appointments using the app of their choice.
- Real-time patient cost estimation to demystify billing and reduce the cost to collect with a unified billing statement combining ambulatory and acute charges.
- QuickPay guest access and embedded technologies to provide balance and payment visibility to patients, without requiring portal log-in.
AI-driven insights designed for real-world outcomes
At Boone Health, using predictive no-show modeling to identify scheduling patterns has achieved 93% accuracy, allowing teams to intervene earlier, reduce missed appointments, and improve both operational efficiency and patient outcomes.
93%
predictive accuracy
50%
no show rate (decreased from 7% to 3%)
"By leveraging predictive no-show modeling, we embraced the opportunity to not only reduce missed appointments, but fundamentally evolve how we manage access, scheduling, and patient engagement. For Boone Health, that's a win for our providers, our staff, and most importantly, our community."
Brenda Sexson, Director of IS/IT
Driving financial performance to support your organization's goals
MEDITECH customers are building a solid foundation for long-term financial health.
Phelps Memorial Health Center
Phelps Memorial Health Center has optimized their Revenue Cycle to reduce their denial days from 9.4 to 0.2 , decrease A/R days from 55 to 30, and increase their clean claim rate from 0% to 90%.
- - - - -
“We've benefited greatly from our integrated EHR system, which has reduced administrative burden on staff.”
Rachel Dallmann
Senior VP of Clinical Operations
Pender Community Hospital
Pender Community Hospital significantly improved revenue cycle performance—cutting AR over 90 days from 44% to 29%, reducing days in AR from 55 to 30, and lowering denials as a percentage of AR from 21% to 6%.
- - - - -
“By focusing on eliminating unnecessary complexity in workflows and claim processes, and using real-time data for decision-making, we've increased operational efficiency and achieved positive financial outcomes.”
Paige McQuistan
Revenue Cycle Manager
Oswego Health
Using MEDITECH's Revenue Cycle solution to automate processes, Oswego Health has kept their A/R days low, currently averaging between 30-35 days.
- - - - -
“It starts at the top, from the CEO down. Through strong leadership and actionable, transparent data, we've been able to achieve our financial goals.”
Eric Campbell
CFO
St. Mary's Healthcare
At St. Mary's Healthcare, simplifying revenue cycle workflows and leveraging automation led to a 148% increase in self-pay collections while reducing A/R over 180 days from 33% to 3%, significantly improving cash flow and operational efficiency.
- - - - -
“Transitioning to an intelligent EHR gave us the proper technology to modernize our healthcare delivery and eliminate manual processes, making it easier to reduce errors and delays.”
Grant Norton
Director Patient Accounting
Howard County Medical Center
Howard County Medical Center uses Expanse Revenue Cycle to achieve greater financial transparency and efficiency, reducing self-pay debt by 42% through community engagement.
- - - - -
“It's not just about Howard County, it's about the patients.”
Morgan Meyer
CFO
Proven performance, recognized by the industry
MEDITECH Expanse has once again achieved KLAS's top honors, earning 2026 Best in KLAS recognition.
“We are extremely happy with MEDITECH. I have been in this industry for many years, and if a vendor does well, I will tout their glories and sing their praises to let everybody know. I have given MEDITECH pretty high marks, so there is no way that our organization would even contemplate moving away from the solution. The vendor has just been too good.”
— CIO, November 2025
“MEDITECH meets the needs of our organization, and particularly on the patient accounting side, the vendor has a great reputation with revenue cycle components. Also, MEDITECH offers a good enterprise capability at a value we can afford. In terms of functionality, MEDITECH competes well with other big vendors. If we were starting over, we would buy MEDITECH's system again. I haven't seen any shifts in the market on price, and I do know that MEDITECH offers a very competitive product.”
— VP, January 2026
Consolidate your revenue cycle under one roof
MEDITECH's Revenue Cycle delivers a holistic patient story with every claim by consolidating access, documentation, billing, and collections into a continuous, intelligent lifecycle that drives healthy profit margins.
Referral Management
Improve patient satisfaction, streamline operations, and optimize revenue generation.
- Help clinicians provide timely and appropriate care with an intuitive referral management dashboard.
- Delivers insights into insurance eligibility verification, identify in-network specialists, and improve care coordination.
Access & Eligibility
Reduce friction before the visit to prevent downstream denials.
- Improve eligibility accuracy at first contact.
- Enable earlier, clearer financial engagement with patients to accelerate access and reduce point-of-service delays.
Documentation & Coding
Defend every claim with evidence at the point of care.
- Embed intelligence directly into clinical workflows with ambient listening that enables more complete/timely notes, improving coding efficiency and leading to cleaner claims.
- Strengthen documentation integrity without increasing clinician burnout.
Billing & Claims
Improve accuracy upstream to protect reimbursement.
- Reduce revenue leakage with real-time alerts and quality checks.
- Increase first-pass acceptance and payer confidence.
Denials & Appeals
Advance toward an agentic, intelligent user experience.
- Take action, continuously learn, and support staff throughout complex processes.
- Support end-to-end resolution by analyzing denials, gathering documentation, cross-referencing payer guidelines, and drafting appeals to improve success over time.
Accounts Receivable & Collections
Accelerate payment through smarter prioritization.
- Focus staff effort where it has the greatest financial impact.
- Support earlier, more transparent patient payment options.
Learn how Boone Health achieved 93% no-show prediction accuracy by using MEDITECH's Revenue Cycle solution.
