Revenue Cycle Management Blog
CO-16 Denial Code: Myths, Realities, and Resolution Strategies
Many independent practices treat CO-16 denials as minor clerical errors, yet this “catch-all” code costs mid-sized practices roughly $125,000 annually. To recover revenue, you must look beyond the generic label at paired Remark Codes (RARCs) like M51 or N264. Stop the rework cycle today.
2026 Medicare Fee Schedule: The Conversion Factor Split That Redefines Reimbursement
1. It’s a New Era for Medicare Reimbursement Beginning in 2026, the Centers for Medicare & Medicaid Services (CMS) will permanently split the Medicare Conversion Factor (CF). Under this new structure: Advanced APM participants receive a higher Conversion Factor...
Top 4 ROI Indicators in Revenue Cycle Management
Today’s healthcare organizations operate under shrinking margins, growing payer complexity, and increased regulatory scrutiny. Rising costs and administrative burdens require leadership teams to ask deeper questions about financial outcomes – specifically, how revenue cycle performance translates into measurable…
2026 RCM Imperative: Patient Financial Responsibility & Cost Transparency
Patients want clarity in pricing around their medical visits. Higher deductibles, plan complexity, and higher premiums are inviting even more scrutiny by the patients regarding the cost of care and the Patient Financial Responsibility (PFR). As well, providers need...
Computer-Assisted Coding vs AI Coding vs Outsourcing: Which Medical Coding Model Works Best?
Medical coding has become one of the most critical parts of a healthcare organization’s financial health. Payer rules change, documentation becomes more complex, and staffing challenges continue while many healthcare executives and practices are asking the same question. How do we keep coding accurate.
RCM Is No Longer Enough – Physicians Need Actionable Intelligence
In our rapidly evolving healthcare business and regulatory environment, medical practices and physicians are no longer satisfied with legacy revenue cycle management (RCM) software that simply automates claim submission, posting, and denials follow-up. What they truly want is revenue intelligence a deeper, smarter, predictive capability that anticipates issues
The Denial Dilemma: AI, Automation, and The Future of Prevention
Explore how Automated Eligibility Checking, Sophisticated Claims Edits, and the power of AI/RPA transform the third pillar of the People, Process, and Technology (P-P-T) framework, making your RCM strategy resilient, efficient, and profitable. Learn to leverage technology to prevent denials at the source and secure your financial future.
UnisLink and Stitch PEO – Time is Money: Why Managing Your Practice’s Workforce is the New Frontier of RCM
Time is money: managing your workforce is the new frontier of RCM. Stitch PEO, a UnisLink Channel Partner, reveals the 5 advantages of PEOs for medical practices. Stabilize costs, gain Fortune 500 benefits, and offload critical compliance risk (HIPAA, Stark Law) to free up time for patient care.