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Buyer guides · vendor-neutral · quarterly refresh

How to evaluate AI for your revenue cycle. Five buyer guides.

Most buyer guides on the internet are written by vendors pretending they are not vendors, or by analyst firms whose business model is access fees. Both options leave the buyer without a real checklist. We are a vendor. We disclose that on every page. We still publish the checklist we wish every prospect would run on us, because if a real evaluation picks someone else, the decision was correct.

No analyst access fees No paid placements Refreshed quarterly
The buyer guides

Five categories. One honest framework.

Each guide covers a specific revenue-cycle AI category where buyers are spending real money and where vendor pitches share the same blind spots. The structure is consistent: the trap the category sets, ten questions to ask vendors, a comparison framework, ROI math where applicable, and a short note on where ASP-RCM sits in the category.

Guide 01 · Medical coding AI2,000 words · 12 min read

How to evaluate medical coding AI vendors. The honest checklist.

The 92 percent accuracy trap, the audit trail question, the coder-in-loop test. What every CMIO and revenue cycle leader needs to ask before signing. Includes side-by-side comparison framework and the four pitfalls in EHR integration that surface six months in.

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Guide 02 · Denial prediction2,000 words · 12 min

Denial prediction tools. What CFOs miss.

Pattern AI vs clearinghouse edits, the calibration curve question, ROI math template. Most vendors are 80 percent edits with a probability score bolted on. How to tell the difference before you sign.

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Guide 03 · Eligibility platforms2,000 words · 12 min

Eligibility verification platforms. Beyond 270/271.

Continuous monitoring vs one-shot, the Medicaid state-adapter library, sub-second latency claims under scrutiny. Why per-CPT benefit detail matters more than coverage yes/no.

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Guide 04 · HCC coding AI2,200 words · 13 min

HCC coding AI for risk adjustment. The V28 lens.

The CMS-HCC v28 currency check, MEAT documentation evidence, RADV defensibility methodology. Recapture campaign capability. Vendors still on v24 are obsolete. How to test for it.

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Guide 05 · Prior authorizationService page + buyer notes

Prior auth AI. 32 hours, not eight days.

The TAT compression math, the 89 percent auto-approval honest breakdown, the appeal overturn methodology. ASP-RCM publishes our active book numbers here. Use them as the benchmark for vendor pitches.

Read the page
Coming next quarterIn drafting

Patient pay AI. CDI. Contract analytics. Credentialing.

Four more buyer guides on the production calendar. Each guide takes three weeks to draft, internal review, and publish. If a category you care about is missing, tell us and we will move it up.

Suggest a category
Why publish vendor-neutral guides if we are a vendor

The buyer-guide market is broken. We thought we could do better.

If you are buying revenue-cycle AI today, your information options are limited. Vendor sites pitch their own product. Analyst firms charge five-figure access fees for reports that summarize last year's vendor pitches. Peer networks help, but only if you have the right peers. The buyer ends up running a procurement without a checklist.

01 · The disclosure

We are a vendor. On every guide.

Each buyer guide has a section labeled "ASP-RCM angle" that says where we sit in the category, links to our product page, and acknowledges the conflict. We do not bury this. The disclosure is the first thing under the comparison framework.

02 · The test

Run the checklist on us.

If you apply our ten-question checklist to ASP-RCM and decide we are not the right fit, that is the correct outcome. The buying decision is yours. We would rather lose a deal to a real evaluation than win a deal because the buyer had no framework.

03 · The math

If buyers run real evaluations, we win more.

The strategic logic is straightforward. The vendors that hide behind glossy demos lose to vendors that publish their methodology. We are betting on transparency. So far the bet is paying off in pipeline quality. Buyers who arrive having read these guides close faster and churn less.

The three questions in depth

Cut through every vendor pitch with three questions.

If a buyer asks only three things in a vendor meeting, ask these. The detailed framework lives at /ai/framework and applies to every category.

01

Evidence on my data.

Vendor demos run on curated datasets. The accuracy you see in the demo is not the accuracy you will see in production. Insist on a six-week pilot on your real volume. Compare results against your incumbent or your current workflow. The vendor that refuses this evaluation is the vendor that fails it.

02

Where is the audit trail?

Every code, every prediction, every flag needs a traceable reason. For coding AI, that means the specific chart sentence that triggered the code. For denial AI, the features that drove the prediction. For HCC AI, the MEAT documentation. Black-box AI does not survive RADV audits, payer appeals, or your own internal QA.

03

What happens when accuracy degrades?

Models drift. Payer policies change. CMS updates condition maps. The right vendor monitors accuracy continuously, publishes the trend internally, and has a documented retrain cadence. Ask: what is your monitoring cadence, who calls me when accuracy slips, and what is the SLA on a fix?

Common questions

Frequently asked: buyer guides.

Why publish buyer guides if you are also a vendor?
Because the alternative is worse. Most buyer guides on the internet are written by vendors who are pretending they are not vendors, or by analyst firms whose business model is access fees. Both options leave the buyer without a real checklist. We are a vendor. We disclose that on every guide. We still publish the checklist we wish every prospect would run on us, because if a prospect runs a real evaluation and picks someone else, the buying decision was correct. If they pick us after a real evaluation, the relationship starts on better footing.
What is the framework these guides share?
Three questions that cut through every vendor pitch. First, what is the evidence on MY data, not your demo data? Second, where is the audit trail, the explainability, the failure mode? Third, what happens when accuracy degrades or your model is wrong? Every guide in the set applies these questions to the specific category. The detailed framework lives at /ai/framework.
How long does a real vendor evaluation take?
Six to twelve weeks for a meaningful pilot. Anything shorter is a sales process pretending to be an evaluation. Six weeks lets you stress test on real volume, run the same claims through your incumbent for comparison, and surface the edge cases that always live in your tail. Twelve weeks lets you watch accuracy stability across a payer policy update. Three weeks is a demo dressed up as a pilot. CFOs who approve three week pilots are choosing speed over information.
What is the most common buyer mistake?
Buying the demo. Every demo runs on a curated dataset, a tuned specialty, and the vendor's best charts. The accuracy number you see in the demo is not the accuracy you will see on your data. Insist on running the evaluation on your own data. If the vendor refuses, that is the signal.
Do these guides cover ROI math?
Yes. Each guide includes either a worked ROI example or a methodology for buyers to compute their own. We avoid generic ROI claims like 'save 30 percent on coding costs' because they do not survive contact with a real chart of accounts. The math template asks for your volume, your current denial rate, your current coder cost, and computes the realistic recovery range based on the category.
What if I do not have a procurement team?
These guides are written for the person who is the procurement team. Most mid-market healthcare organizations do not have a dedicated vendor evaluation function. The buyer is the CFO or the VP of RCM or the practice manager. The guides are structured so a single person can run a defensible evaluation in six weeks without an analyst firm.
What about the categories you do not cover?
We will cover them. The current set includes the highest-spend categories: medical coding, denial prediction, eligibility verification, HCC coding, and prior authorization. Next quarter we are adding patient pay AI, clinical documentation improvement, contract analytics, and credentialing automation. Each guide takes about three weeks to draft, internal review, and publish.
How are these guides updated?
Quarterly. Payer policies change, CMS rules change, and the vendor landscape moves. We refresh each guide on a quarterly cadence and version-stamp the publish date at the bottom. If you read a guide and the date is older than six months, ask us for the current version.

Run the checklist on us. Send the buyer scorecard back.

If you are evaluating vendors in any of these five categories, run the ten-question checklist on ASP-RCM. Send us your scorecard. We respond with our honest answers, the references to back them up, and the trade-offs we make. No demo theater, no curated dataset. The same evidence we would expect from any vendor we were buying from.