RCM systems are not cheap. It's fairly common for quality software to cost several hundreds of dollars per month. To alleviate the cost while still reaping the benefits, many healthcare organizations will actually join together to invest in a single, shared RCM system. Other organizations will opt out of an RCM system altogether due to the hefty cost. Instead, they may choose to save their in-house resources by outsourcing some, if not all, of the most time-consuming duties.