Lindsay Gross, Founder and CEO, Claims Theory

The practice management system you choose can make or break you RCM performance. The right platform drives efficiency, automation, and insight; while the wrong one creates friction, errors, and lost revenue. In today's tech-enabled environment, your PM system isn't just software, it's the backbone of your revenue cycle success.

Operational excellence isn't about perfection, it's about building an ecosystem that works. In RCM, the most powerful forces often operate behind the scenes: aligned teams, clear workflows, and leaders who turn chaos into consistency. Because sometimes, the strongest part of your revenue cycle is the part you can't see.

Coding and compliance aren't back-office tasks, they're critical to protecting revenue. With OIG and CMS targeting medical necessity, telehealth, and modifier misuse, proactive audits are essential. Auditing not only reduces risk but strengthens processes, safeguards cash flow, and ensures long-term RCM resilience.