Revenue Cycle Management Blog
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.
Top Five Signs Showing Your Practice Needs to Outsource RCM
Managing your revenue cycle in-house is a big responsibility, and for some healthcare practices, RCM billing comes with levels of complexity that may seem overwhelming. Even the most dedicated teams can feel stretched between medical coding and compliance, billing...
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.
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.