About one in five of hospitals expect to change their core revenue cycle management software within two years, but much of the change will be at large hospitals, according to a recent survey.

Health information technology vendor research firm CapSite polled a representative sample of 390 hospitals about their RCM strategies. Eighteen percent of facilities with less than 200 beds are looking to replace the core system, as are 21 percent of surveyed hospitals with 200-400 beds. But 36 percent of hospitals above 400 beds are looking for a change.

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