Advanced revenue cycle IT is currently receiving much attention. Articles and advertising tout the promise and capabilities of integrated bolt-ons, workflow rules engines, electronic medical records, advanced executive scorecards, and single-database clinical/revenue cycle systems. In a study of 251 provider and 359 vendor members of the Healthcare Informatics Research Panel, the Vendome Group learned that the most significant reimbursement challenge among the study respondents is accurate charge data. In the best-of-breed era, organizations "bolted on" specialty applications and modified their core systems to accommodate them. They spent millions on IT resources and often ended up with systems that required significant resources to manage. Although integrated, next-generation revenue cycle applications have begun to emerge, many revenue cycle management teams still forgo the promise of integration in favor of niche functionality. The new technology promises to deliver improved results and reduced costs. As with any system, however, it is the combination of people, process, and technology that will ultimately determine success.