Product Code: GVR-4-68040-359-7
Market Size & Trends
The global ASC revenue cycle management market size was estimated at USD 15.36 billion in 2023 and is expected to expand at a grow of 13.76% from 2024 to 2030. This growth is attributed to the increasing patient volume, integration of advanced technologies, and focus on cost containment and operational efficiency. According to the Centers for Medicare & Medicaid Services (CMS), in 2023, the Medicare Fee-for-Service (FFS) estimated improper payment rate was 7.38%, or USD 31.2 billion, highlighting the need for efficient revenue cycle management to minimize claim denials and maximize reimbursements.
The growing trend towards outpatient procedures rather than inpatient hospital stays has led to a higher demand for specialized software solutions for handling the increased volume of patients. Such facilities require efficient revenue cycle management tools to cope with the boost in patient flow and related billing operations. For instance, monitoring month-to-date collections and cases yet to be billed is crucial for these facilities to achieve their financial goals and determine potential issues.
The rapid technological advancements in Revenue Cycle Management (RCM) solutions are contributing to the market growth. Advanced RCM software platforms offer automated coding assistance, predictive analytics for revenue forecasting, real-time claims tracking, and integration with Electronic Health Records (EHR) systems. These technological innovations enhance operational efficiency and enable ambulatory surgery centers (ASC)s to adapt to regulatory requirements and industry standards. The updates aim to enhance operational efficiency and financial performance.
Moreover, the market players are adopting several strategies to increase their market presence, and market share, further contributing to the market's growth. For instance, in April 2022, HST Pathways, a prominent provider of comprehensive software solutions for the ASC, acquired Simplify ASC. This strategic move signifies HST Pathways' commitment to enhancing its offerings and expanding its market presence within this sector. Simplify ASC is known for its revenue cycle management solution, which complements HST Pathways' existing suite of ASC management tools. These tools include scheduling and registration, clinical charting, claims management, inventory management, compliance, and reporting functionalities.
Global Revenue Cycle Management Market Segmentation
This report forecasts revenue growth at global, regional, and country levels and provides an analysis of the latest industry trends in each of the sub-segments from 2018 to 2030. For this study, Grand View Research has segmented the global ASC revenue cycle management market report based on type, product, delivery mode and region.
- Type Outlook (Revenue, USD Million, 2018 - 2030)
- Integrated
- Standalone
- Product Outlook (Revenue, USD Million, 2018 - 2030)
- Software
- Services
- Delivery Mode Outlook (Revenue, USD Million, 2018 - 2030)
- On-premise
- Web-based
- Cloud-based
- Regional Outlook (Revenue, USD Million, 2018 - 2030)
- North America
U.S.
Canada
Mexico
Germany
UK
France
Italy
Spain
Denmark
Sweden
Norway
China
Japan
India
South Korea
Australia
Thailand
Brazil
Argentina
South Africa
Saudi Arabia
UAE
Kuwait
Table of Contents
Chapter 1. Methodology and Scope
- 1.1. Market Segmentation & Scope
- 1.2. Market Definitions
- 1.2.1. Type Segment
- 1.2.2. Product Segment
- 1.2.3. Delivery Mode Segment
- 1.3. Information analysis
- 1.3.1. Market formulation & data visualization
- 1.4. Data validation & publishing
- 1.5. Information Procurement
- 1.6. Information or Data Analysis
- 1.7. Market Formulation & Validation
- 1.8. Market Model
- 1.9. Total Market: CAGR Calculation
- 1.10. Objectives
Chapter 2. Executive Summary
- 2.1. Market Outlook
- 2.2. Segment Snapshot
- 2.3. Competitive Insights Landscape
Chapter 3. ASC Revenue Cycle Management Market Variables, Trends & Scope
- 3.1. Market Lineage Outlook
- 3.1.1. Parent market outlook
- 3.1.2. Related/ancillary market outlook.
- 3.2. Market Dynamics
- 3.2.1. Market driver analysis
- 3.2.1.1. Increasing patient volume
- 3.2.1.2. Technological advancements
- 3.2.1.3. Focus on cost containment and operation efficiency
- 3.2.2. Market restraint analysis
- 3.2.2.1. Operational Costs
- 3.2.2.2. Data Breach & Privacy Issues
- 3.3. ASC revenue cycle management Market Analysis Tools
- 3.3.1. Porter's Five Forces Analysis
- 3.3.2. PESTEL Analysis
- 3.4. COVID-19 Impact Analysis
Chapter 4. ASC Revenue Cycle Management Market: Type Estimates & Trend Analysis
- 4.1. Segment Dashboard
- 4.2. Global ASC revenue cycle management Market Type Movement Analysis
- 4.3. Global ASC revenue cycle management Market Size & Trend Analysis, by Type, 2018 to 2030 (USD Million)
- 4.4. Integrated
- 4.4.1. Integrated market estimates and forecasts 2018 to 2030 (USD Million)
- 4.5. Standalone
- 4.5.1. Standalone market estimates and forecasts 2018 to 2030 (USD Million)
Chapter 5. ASC Revenue Cycle Management Market: Product Estimates & Trend Analysis
- 5.1. Segment Dashboard
- 5.2. Global ASC revenue cycle management Market Product Movement Analysis
- 5.3. Global ASC revenue cycle management Market Size & Trend Analysis, by Product, 2018 to 2030 (USD Million)
- 5.4. Software
- 5.4.1. Software market estimates and forecasts 2018 to 2030 (USD Million)
- 5.5. Services
- 5.5.1. Services market estimates and forecasts 2018 to 2030 (USD Million)
Chapter 6. ASC Revenue Cycle Management Market: Delivery Mode Estimates & Trend Analysis
- 6.1. Segment Dashboard
- 6.2. Global ASC revenue cycle management Market Delivery Mode Movement Analysis
- 6.3. Global ASC revenue cycle management Market Size & Trend Analysis, by Delivery Mode, 2018 to 2030 (USD Million)
- 6.4. On Premise
- 6.4.1. On premise market estimates and forecasts 2018 to 2030 (USD Million)
- 6.5. Web Based
- 6.5.1. Web based market estimates and forecasts 2018 to 2030 (USD Million)
- 6.6. Cloud Based
- 6.6.1. Cloud based market estimates and forecasts 2018 to 2030 (USD Million)
Chapter 7. ASC Revenue Cycle Management Market: Regional Estimates & Trend Analysis
- 7.1. Regional Market Share Analysis, 2023 & 2030
- 7.2. Regional Market Dashboard
- 7.3. Market Size, & Forecasts Trend Analysis, 2018 to 2030:
- 7.4. North America
- 7.4.1. U.S.
- 7.4.1.1. Key country dynamics
- 7.4.1.2. Competitive scenario
- 7.4.1.3. Regulatory framework
- 7.4.1.4. U.S. market estimates and forecasts 2018 to 2030 (USD Million)
- 7.4.2. Canada
- 7.4.2.1. Key country dynamics
- 7.4.2.2. Competitive scenario
- 7.4.2.3. Regulatory framework
- 7.4.2.4. Canada market estimates and forecasts 2018 to 2030 (USD Million)
- 7.4.3. Mexico
- 7.4.3.1. Key country dynamics
- 7.4.3.2. Competitive scenario
- 7.4.3.3. Regulatory framework
- 7.4.3.4. Mexico market estimates and forecasts 2018 to 2030 (USD Million)
- 7.5. Europe
- 7.5.1. UK
- 7.5.1.1. Key country dynamics
- 7.5.1.2. Competitive scenario
- 7.5.1.3. Regulatory framework
- 7.5.1.4. UK market estimates and forecasts 2018 to 2030 (USD Million)
- 7.5.2. Germany
- 7.5.2.1. Key country dynamics
- 7.5.2.2. Competitive scenario
- 7.5.2.3. Regulatory framework
- 7.5.2.4. Germany market estimates and forecasts 2018 to 2030 (USD Million)
- 7.5.3. France
- 7.5.3.1. Key country dynamics
- 7.5.3.2. Competitive scenario
- 7.5.3.3. Regulatory framework
- 7.5.3.4. France market estimates and forecasts 2018 to 2030 (USD Million)
- 7.5.4. Italy
- 7.5.4.1. Key country dynamics
- 7.5.4.2. Competitive scenario
- 7.5.4.3. Regulatory framework
- 7.5.4.4. Italy market estimates and forecasts 2018 to 2030 (USD Million)
- 7.5.5. Spain
- 7.5.5.1. Key country dynamics
- 7.5.5.2. Competitive scenario
- 7.5.5.3. Regulatory framework
- 7.5.5.4. Spain market estimates and forecasts 2018 to 2030 (USD Million)
- 7.5.6. Norway
- 7.5.6.1. Key country dynamics
- 7.5.6.2. Competitive scenario
- 7.5.6.3. Regulatory framework
- 7.5.6.4. Norway market estimates and forecasts 2018 to 2030 (USD Million)
- 7.5.7. Sweden
- 7.5.7.1. Key country dynamics
- 7.5.7.2. Competitive scenario
- 7.5.7.3. Regulatory framework
- 7.5.7.4. Sweden market estimates and forecasts 2018 to 2030 (USD Million)
- 7.5.8. Denmark
- 7.5.8.1. Key country dynamics
- 7.5.8.2. Competitive scenario
- 7.5.8.3. Regulatory framework
- 7.5.8.4. Denmark market estimates and forecasts 2018 to 2030 (USD Million)
- 7.6. Asia Pacific
- 7.6.1. Japan
- 7.6.1.1. Key country dynamics
- 7.6.1.2. Competitive scenario
- 7.6.1.3. Regulatory framework
- 7.6.1.4. Japan market estimates and forecasts 2018 to 2030 (USD Million)
- 7.6.2. China
- 7.6.2.1. Key country dynamics
- 7.6.2.2. Competitive scenario
- 7.6.2.3. Regulatory framework
- 7.6.2.4. China market estimates and forecasts 2018 to 2030 (USD Million)
- 7.6.3. India
- 7.6.3.1. Key country dynamics
- 7.6.3.2. Competitive scenario
- 7.6.3.3. Regulatory framework
- 7.6.3.4. India market estimates and forecasts 2018 to 2030 (USD Million)
- 7.6.4. Australia
- 7.6.4.1. Key country dynamics
- 7.6.4.2. Competitive scenario
- 7.6.4.3. Regulatory framework
- 7.6.4.4. Australia market estimates and forecasts 2018 to 2030 (USD Million)
- 7.6.5. South Korea
- 7.6.5.1. Key country dynamics
- 7.6.5.2. Competitive scenario
- 7.6.5.3. Regulatory framework
- 7.6.5.4. South Korea market estimates and forecasts 2018 to 2030 (USD Million)
- 7.6.6. Thailand
- 7.6.6.1. Key country dynamics
- 7.6.6.2. Competitive scenario
- 7.6.6.3. Regulatory framework
- 7.6.6.4. Thailand market estimates and forecasts 2018 to 2030 (USD Million)
- 7.7. Latin America
- 7.7.1. Brazil
- 7.7.1.1. Key country dynamics
- 7.7.1.2. Competitive scenario
- 7.7.1.3. Regulatory framework
- 7.7.1.4. Brazil market estimates and forecasts 2018 to 2030 (USD Million)
- 7.7.2. Argentina
- 7.7.2.1. Key country dynamics
- 7.7.2.2. Competitive scenario
- 7.7.2.3. Regulatory framework
- 7.7.2.4. Argentina market estimates and forecasts 2018 to 2030 (USD Million)
- 7.8. MEA
- 7.8.1. South Africa
- 7.8.1.1. Key country dynamics
- 7.8.1.2. Competitive scenario
- 7.8.1.3. Regulatory framework
- 7.8.1.4. South Africa market estimates and forecasts 2018 to 2030 (USD Million)
- 7.8.2. Saudi Arabia
- 7.8.2.1. Key country dynamics
- 7.8.2.2. Competitive scenario
- 7.8.2.3. Regulatory framework
- 7.8.2.4. Saudi Arabia market estimates and forecasts 2018 to 2030 (USD Million)
- 7.8.3. UAE
- 7.8.3.1. Key country dynamics
- 7.8.3.2. Competitive scenario
- 7.8.3.3. Regulatory framework
- 7.8.3.4. UAE market estimates and forecasts 2018 to 2030 (USD Million)
- 7.8.4. Kuwait
- 7.8.4.1. Key country dynamics
- 7.8.4.2. Competitive scenario
- 7.8.4.3. Regulatory framework
- 7.8.4.4. Kuwait market estimates and forecasts 2018 to 2030 (USD Million)
Chapter 8. Competitive Landscape
- 8.1. Company/Competition Categorization
- 8.2. Strategy Mapping
- 8.3. Company Market Position Analysis, 2023
- 8.4. Company Profiles/Listing
- 8.4.1. BillingParadise
- 8.4.1.1. Company overview
- 8.4.1.2. Financial performance
- 8.4.1.3. Service benchmarking
- 8.4.1.4. Strategic initiatives
- 8.4.2. Epic Systems Corporation
- 8.4.2.1. Company overview
- 8.4.2.2. Financial performance
- 8.4.2.3. Service benchmarking
- 8.4.2.4. Strategic initiatives
- 8.4.3. NXGN Management, LLC
- 8.4.3.1. Company overview
- 8.4.3.2. Financial performance
- 8.4.3.3. Service benchmarking
- 8.4.3.4. Strategic initiatives
- 8.4.4. Oracle (Cerner Corporation)
- 8.4.4.1. Company overview
- 8.4.4.2. Financial performance
- 8.4.4.3. Service benchmarking
- 8.4.4.4. Strategic initiatives
- 8.4.5. Regent Surgical
- 8.4.5.1. Company overview
- 8.4.5.2. Financial performance
- 8.4.5.3. Service benchmarking
- 8.4.5.4. Strategic initiatives
- 8.4.6. Serbin Medical Billing
- 8.4.6.1. Company overview
- 8.4.6.2. Financial performance
- 8.4.6.3. Service benchmarking
- 8.4.6.4. Strategic initiatives
- 8.4.7. Surgical Information Systems
- 8.4.7.1. Company overview
- 8.4.7.2. Financial performance
- 8.4.7.3. Service benchmarking
- 8.4.7.4. Strategic initiatives
- 8.4.8. Surgical Notes
- 8.4.8.1. Company overview
- 8.4.8.2. Financial performance
- 8.4.8.3. Service benchmarking
- 8.4.8.4. Strategic initiatives
- 8.4.9. SYNERGEN Health
- 8.4.9.1. Company overview
- 8.4.9.2. Financial performance
- 8.4.9.3. Service benchmarking
- 8.4.9.4. Strategic initiatives
- 8.4.10. Veradigm LLC
- 8.4.10.1. Company overview
- 8.4.10.2. Financial performance
- 8.4.10.3. Service benchmarking
- 8.4.10.4. Strategic initiatives