This IDC Health Insights Perspective discusses eClinicalWorks' newly announced risk-based revenue cycle management (RCM) service offering. eClinicalWorks made headlines when it entered the ambulatory EHR market in 1999 with a simplified, streamlined EHR and practice management system that offered modern architecture, hosting, and services at highly competitive and transparent pricing that was initially targeted at small and solo practices (less than 10 providers). As eClinicalWorks has moved into the meaningful use era with its EHR, the company has managed to succeed by making substantial improvements to its functionality that allow it to serve large, complex practices while remaining competitive with pricing virtually identical to that offered in 2007, when IDC first started covering eClinicalWorks. The enthusiasm and commitment of eClinicalWorks' customers is clear, with 4,500 attendees at eClinicalWorks' October 2012 National Users Conference, representing practices of all sizes. Building on its history, eClinicalWorks has recently launched RCM services; this new service launch is expected to enhance the company's competitiveness in all sectors of the ambulatory EHR application market. The new RCM service launch addresses competitors' and prospects' main objection to eClinicalWorks' product portfolio: deficiencies in the company's practice and revenue cycle management functionality. Whether those deficiencies were perceived or real, the new attention to billing functionality and services by eClinicalWorks has the potential to address these objections and further build the company's already commanding market share.