Revenue Cycle Management Blog
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.
Seven Most Important RCM Metrics That Every Medical Practice Should Monitor
A well performing medical practice will experience high patient satisfaction, efficient RCM billing processes, speedy healthcare insurance reimbursements, strong patient cash payments, and strong overall revenue performance. Measure the health of your own practice against the seven metrics outlined in this article that provides a clear snapshot of your financial performance.
FAQs on Medical Billing Services | Top Questions and Answers on Outsourcing RCM
In this article, we’ll answer key questions every independent practice should be asking: What do medical billing services actually involve? What are the specific RCM services provided? Why are more physician groups choosing to outsource this function? And how can understanding the “4 Ps” of medical billing—Patients, Providers, Payers, and Processes—help build a more profitable and sustainable revenue cycle?
Don’t Leave Revenue on the Table: Navigate Healthcare Contracts for Practice Growth
Don’t leave money on the table! Learn how to navigate 2025’s evolving healthcare landscape, optimize payer contracts, and boost your practice’s revenue. Understand rising costs, shifting power, and new regulations to secure fair reimbursements.