Revenue Cycle Management Blog
The AMA’s 2026 CPT Updates: What Physician Groups Need to Know About AI-Augmented Codes
The AMA’s 2026 CPT code set introduces new codes for AI-augmented services in radiology, diagnostics, and pathology. Learn what these updates mean for independent physician groups, how they affect compliance and reimbursement, and what RCM teams can do now to prepare for this major industry shift.
The Transition from ICD-10 to ICD-11: A Fundamental Shift for U.S. Healthcare Practices
The transition from ICD‑10 to ICD‑11 represents a significant change for U.S. healthcare practices. ICD-11 is already in effect globally, the U.S. has not yet set an official implementation date. Nonetheless, proactive preparation is vital for independent physicians and small group practices to ensure a smooth transition, maintain revenue flows, and avoid operational disruption. Learn what is changing, what to expect, and how to prepare for the transition.
The Denial Dilemma: The Secret Language of Denials & Why You Need to Speak Fluent Code
Stop losing revenue to denied claims! Learn what the prefixes (CO, PR, OA, PI) mean and discover the shocking truth: 48% of initial denials stem from eligibility issues—a problem you can fix before the patient is even seen. Master the codes and the data to fix the operational breakdowns that are costing you cash.
The Denial Dilemma: Why 1 in 5 Claims is Being Denied
Denial of claims by insurance payers has become a widespread and escalating problem in the healthcare industry. These denials are not just administrative nuisances; they represent a significant threat to providers’ financial stability and a detriment to patient care. This article, the first in a five-part series, will examine the alarming statistics behind medical billing denials and their multifaceted impact on healthcare practices.
RCM Top Metric: Monitoring Gross Collection Rate, Revenue Realization Rate, and Net Collection Rate
In this last article of our series on the seven most important RCM metrics, we’re focused on calculating gross and net collections and understanding how much of your earned revenue is truly hitting your bottom line.
RCM Top Metric: How to Calculate Your Denial Rate and Reduce Denied Claims
When healthcare providers regularly calculate claim denials and interpret this metric, it gives them a clear path to increasing cash flow, optimizing performance, and reducing administrative waste. In this article, we’ll help you learn to calculate your medical claim denial rate, why it’s important, what industry benchmarks to strive for, and how to reduce your denial rates over time.
RCM Top Metric: Why Average Revenue Per Encounter is Important for a Medical Practice
For any medical practice, understanding how much revenue is generated per patient visit is one of the most revealing key performance indicators of overall financial health. In this article, UnisLink defines Average Revenue per Encounter and how to calculate it for your practice.
RCM Top Metric: How to Improve Cash for Your Medical Practice by Tracking Days in A/R
Two of the most critical metrics for any healthcare practice to monitor are Days in A/R and A/R Over 120 Days. These key performance indicators (KPIs) serve as early warning signs for underlying billing and collections issues, offering clear targets for improvement. Learn how to calculate these top metrics and how to improve them.