Revenue Cycle Management Blog
The Hidden Risks of Non-Compliance in Medical Billing
Compliance in medical billing isn’t just a regulatory formality, it’s a cornerstone of financial health, patient trust, and practice sustainability. Yet, many healthcare providers underestimate the cost of noncompliance until the consequences show up as denied claims,...
How to Use Claims Edit Software to Immediately Improve Practice Cash Flow
If you’re a physician or practice manager experiencing inconsistent cash flow, there’s good news: claims edit software offers a proven way to improve your financial performance. By preventing denials before claims are submitted, this software can drastically reduce rework, speed up reimbursements, and immediately enhance your bottom line.
What Is the Role of a Medical Billing Company in RCM?
Your Revenue Cycle Management (RCM) professional billing services partner is essential to maintain a high performing practice.
If you’re in the research and education phase of evaluating RCM solutions, we’ll help you understand what things to look for in comparing RCM companies, and how outsourcing can optimize your processes to significantly improve your organization’s cash flow.
2025 Updates to Merit-Based Incentive Payment System (MIPS): What Healthcare Practitioners Need to Know
For 2025, the Centers for Medicare & Medicaid Services (CMS) have introduced several updates aimed at refining reporting requirements, improving data integrity, and adjusting scoring methodologies. These changes impact how clinicians report their performance and the potential payment adjustments they may receive. Learn more about what practitioners need to do to comply with the new requirements.
Medical Coding Guide for Obstetricians and Gynecologists
Obstetricians and gynecologists (OB/GYNs) face unique coding challenges due to the complexity of pregnancy-related services, preventive care, and surgical procedures. This guide provides best practices for OB/GYN medical coding to enhance efficiency, reduce claim denials, and optimize revenue.
Medical Coding Guide for Primary Care Providers
Learn how significant losses to a primary care practice can occur when medical coding is not processed accurately, jeopardizing the financial health of the organization.
Medicare Telehealth Billing Requirements for Providers | Key Changes for 2025
With Medicare changes for 2025 there are several important updates around billing for telehealth services, which providers should review carefully to maintain compliance and optimize reimbursement. This article details the updates to help ensure a smooth transition into the new year, safeguarding both patient care continuity and financial stability for medical practices.
UnisLink and NGA Healthcare: Why Providers Must Prioritize Rate Negotiations
Healthcare reimbursement rates falling behind? Unislink and NGA Healthcare can help. NGA Healthcare specializes in contract negotiations and provides a comprehensive review to optimize your practice’s revenue.