Insights and Innovations in Revenue Cycle Management
The Real Cost of In-House Billing vs Outsourcing
Introduction In-House Billing vs Outsourcing, managing billing in-house can feel convenient, but for many healthcare practices, it comes with hidden costs and operational challenges. Staff turnover, training expenses, software updates, and compliance risks can quietly...
What Is an MSO and Why Freestanding ERs Are Turning to Them
Operating a freestanding emergency room (FSER) is fundamentally different from running a traditional physician practice. Freestanding ERs function 24/7, face hospital-level regulatory scrutiny, manage complex payer dynamics, and operate on razor-thin margins—all while...
Closing Out the Year: Best Practices for Handling Outstanding Claims
Introduction As 2025 draws to a close, healthcare practices are facing an all-too-familiar challenge: the year-end scramble to reconcile outstanding claims. Between tighter payer scrutiny, shrinking reimbursements, and the looming risk of audits, the last quarter of...
How to Set Your RCM Goals for 2026: A Practical Roadmap
Introduction Healthcare practices in 2025 are under immense pressure. Reimbursements continue to shrink, payers are adding layers of complexity to claims submission, and operational costs are rising faster than revenue. For practices trying to sustain profitability,...
The Hidden Costs of Inaccurate Patient Demographics in Billing
Introduction Running a healthcare practice in 2025 isn’t for the faint of heart. Margins are shrinking as payers tighten reimbursement rules, administrative requirements pile up, and staffing shortages stretch teams thin. At the same time, patients expect seamless...
Preparing Your Practice for Year-End Payer Audits
Introduction In 2025, healthcare practices face an increasingly complex landscape. Payers are scrutinizing claims more closely than ever, documentation requirements are multiplying, and reimbursement margins continue to tighten. For small and mid-sized practices, the...
Reducing Claim Denials Through Better Front-End Processes
Picture this: You're a healthcare administrator reviewing last month's financials, and the numbers make your stomach drop. Your practice processed 5,000 claims, but nearly 800 came back denied. That's $240,000 in revenue sitting in limbo, requiring hours of staff time...
The ROI of Ongoing Staff Training in Medical Billing: Why Continuous Education Pays Off
Have you ever wondered why some medical practices seem to glide through billing processes while others struggle with constant denials and compliance headaches? The secret isn't in their billing software or their patient volume—it's in their people. Healthcare billing...
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