⭐ Pro Member Library
Premium Resource Library
Templates, playbooks, and tools for RCM teams — updated monthly
📊 Market Intelligence
New — March 2026
RCM Funding Database
Every notable RCM funding round, acquisition, and PE deal — tracked and searchable.
📖 Vendor Playbooks
New — Mar 10
Optum Contract & Vendor Evaluation Playbook
7 contract provisions, Optum Real AI governance checklist, competitive alternatives, negotiation leverage points.
New — Mar 17
Ensemble Health Partners: Outsourcing Evaluation Playbook
RFP scorecard (18 weighted criteria), contract red flags checklist, build vs. buy calculator, and 20-item pre-signature audit.
March 2026
R1 RCM Contract Playbook
7 provisions R1's standard MSA leaves out — with negotiation tactics and competitive alternatives for renewal.
March 2026 · NEW
RCM Outsourcing Evaluation Framework
8 vendor scorecards, 15 evaluation questions, contract negotiation checklist, SLA benchmarks, and transition risk assessment. Everything you need before signing.
March 2026
Ensemble Outsourcing Evaluation Playbook
RFP scorecard, contract red flags checklist, build vs. buy framework, and a 20-item pre-signature audit for full-cycle outsourcing decisions.
Feb 2026
UHC Prior Auth Deep Dive
How UHC's auth infrastructure shifted, where denials are coming from, and 7 tactics with the highest impact.
🛠️ Interactive Tools
Feb 2026
Prior Auth Requirements Tracker
50+ procedure categories × 6 payers. Filterable, searchable, updated monthly.
Feb 2026
Denial Reason Code Playbook
60+ denial codes mapped to root cause, appeal strategy, and payer-specific notes. 7 categories.
📄 Payor-Specific Guides
UnitedHealthcare Prior Auth Strategy Guide
Aetna Medical Necessity Appeal Template
BCBS State-by-State Variations Guide
Cigna Denial Code Decoder
Humana Appeals Fast-Track Guide
⚙️ Operations & Workflows
RCM Staff Training Checklist
Revenue Leakage Audit Checklist
Peer-to-Peer Discussion Script Template
RCM KPI Dashboard
Prior Auth Tracking Template
Denial Appeal Success Rate Tracker
💰 Financial & Contracts
Contract Negotiation ROI Calculator
Fee Schedule Comparison Tool
Payor Contract Termination Template
Year-End Financial Close Checklist
📋 Compliance
Medicare Advantage Compliance Calendar 2026
No Surprises Act Compliance Checklist