The Case for Specialization in Revenue Cycle Management

The decision to specialize in revenue cycle management is, at its core, a data-driven one informed by an understanding of scaling and innovation advantages. Trying to be good at everything is a recipe for underperformance — wisdom lies in knowing when to partner with a specialist to create success.

Accident-related claims — motor vehicle accident and workers’ compensation — represent less than 5% of overall volume for most physician providers and health systems, and less than 10% of overall volume for EMS agencies, yet they demand disproportionate resources and consistently underperform in recovery. Your healthcare billing group’s data will certainly confirm.

Generalist RCM approaches to these claims underperform because they require unique data sets, workflows, and payer strategies. A specialist, however, can concentrate volume across many providers to achieve economies of scale that generalist shops simply can’t:

• AI and automation at scale — rules-driven steps and predictive models are more powerful when applied across millions of similar claims
• Aggregated data as an asset — denial patterns, payer behaviors, and recovery strategies become visible only when claims are pooled at scale
• Systematic re-use of data — beginning with ambulance claims, a specialized partner can link the earliest touchpoint in the accident journey to downstream claims, creating early clarity and faster resolution

This is where GoSB’s leadership in the provider space and technical excellence shines. By dominating the patient journey entry point, we connect pre-hospital data with hospital based accident claim workflows — reducing duplication, accelerating payment, and building a more complete picture of patient care.

For executives, the takeaway is clear: accident-related claims are the classic example of the strategic decision to selectively add specialization partners. By handing over a small, high-value portion of claims to a focused ARC specialist, healthcare organizations capture a category with higher average payment rates and faster cashflow, creating a durable competitive edge over peers who default to a generalist approach.

In an industry where every decision carries risk, selectively partnering with a Best in Class ARC specialist is a no regrets strategy that positions providers for tomorrow

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