Category
Category: Revenue Cycle
Guides to the revenue cycle management process for physician practices: the RCM steps, billing KPIs, revenue leakage and clearinghouses.
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Outsourcing Insurance Verification: The Error Taxonomy That Causes Denials
When a claim denies for an eligibility reason, the instinct is to blame the payer. But read the denial from the other end —…
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What to Look for in a Prior Authorization Company
How to evaluate prior authorization companies: full-service scope, turnaround questions to ask, sales-call red flags, and therapy auth specifics.
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What Is a Superbill in Medical Billing? Components & Examples
What belongs on a superbill, where superbills go wrong, and the best practices that keep charge capture clean — for paper forms and EHR workflows alike.
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No Surprises Act for Healthcare Providers: Federal IDR vs Patient-Provider Dispute Resolution
Federal IDR vs. patient-provider dispute resolution: which No Surprises Act process applies, how each works, and what your practice must do to get paid.
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Payment Reminders That Get Patient Balances Paid
Most unpaid patient balances are not refusals to pay. They are reminders that never got sent, statements that confused the reader, or follow-ups that…
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Patient Billing Statements: Best Practices That Get Bills Paid
Most patient billing statements fail in the same quiet way. They arrive at the patient's home, the patient looks at the columns of numbers,…
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How to Read Your Monthly Medical Billing Report
Most practice owners open the monthly billing report the same way: check the total collected, compare it with last month, and decide whether things…
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Claim Status Follow-Up: A Work Queue That Finds Silent Claims
The claim that costs a practice the most is not always the one that comes back denied. Often it is the one that never…
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Clean Claim Rate: What It Counts, How to Measure It, What It Misses
Ask a billing team for their clean claim rate and you will usually get a confident percentage. Ask a harder question — "what exactly…
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Medical Billing Audit: What It Checks, What It Finds, and When a Practice Needs One
Most practices know their billing is imperfect. What they rarely know is where, exactly, the money leaks — or whether the leak is a…
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