The Revenue Cycle Blog

Charge capture errors drain millions from healthcare organizations every year. A structured audit, paired with a Charge Capture ROI Calculator, empowers providers to uncover missed charges, recover revenue, and build a culture of compliance and accuracy.

Accurate use of CPT codes 51701, 51702, and 51703 is critical in urinary catheter billing. This guide explains simple vs. complicated catheterization, documentation rules, and audit compliance.

Postoperative billing in bariatric surgery is often overlooked, leading to lost revenue and audit risks. Learn how to bill correctly for follow-ups, complications, telehealth, and nutrition counseling.

Accurate HCC coding is the foundation of a healthy revenue cycle. From higher reimbursement to reduced audit risk, here’s how professional coding services protect both compliance and profitability.

Credit balances drain resources, frustrate patients, and raise compliance risks. Instead of fixing them after the fact, learn how proactive strategies—like accurate eligibility checks, standardized collections, and automated posting—can stop them from forming in the first place.

Credit balances may look minor, but they impact trust. Mishandled refunds frustrate patients, while transparent policies and communication strengthen loyalty.

Launching a new medical practice? This guide walks you through every step — from gathering documents and CAQH setup to Medicare PECOS enrollment and ongoing monitoring — so your practice is ready for patients and revenue from day one.

Timely filing may seem like a small compliance step, but missing payer deadlines can permanently erase revenue. This blog explains why claims expire, the true cost of timely filing denials, and the practical workflows every provider needs.

Charge capture is one of the most overlooked revenue cycle steps — yet it directly determines whether your services are reimbursed or lost to missed documentation. Clinicians are the first line of defense.

Patient appointment scheduling is more than a back-office task — it’s a core driver of patient access, provider efficiency, and financial performance. By integrating scheduling with Revenue Cycle Management (RCM), healthcare providers can reduce no-shows, improve collections, and enhance the patient experience. Learn how modern scheduling transforms healthcare operations.

Payment posting exceptions—such as partial payments, unexplained write-offs, and denial codes—often create confusion and revenue leakage. In this guide, we outline clear strategies to standardize exception handling, protect accuracy, and keep your revenue cycle running smoothly.

Eligibility verification errors drive claim denials and delayed payments. Learn which KPIs—like denial rate, first-pass resolution, and verification time—help you optimize processes, reduce costs, and improve patient trust.

Prior authorization denials cost billions in lost revenue and delay care. This step-by-step guide shows how to deconstruct denial letters, craft airtight appeal packages, and use data and automation to boost approvals in your revenue cycle.

Clearinghouses are often seen as digital mailboxes for claims—but they’re far more powerful. From scrubbing errors to tracking denials and accelerating payments, a modern clearinghouse can be your strategic partner in reducing revenue leakage and improving financial performance.

The Risk Adjustment Factor (RAF) score plays a critical role in HCC coding and healthcare reimbursement. More than just a number, it reflects patient complexity, determines provider payments, and ensures equitable funding for high-risk populations.

Credentialing is the gateway to compliance, trust, and financial success. Explore how modern credentialing strengthens revenue cycle management and patient safety.

Apply OB‑GYN CPT codes and modifiers correctly for successful claim submission. Medical billing services reduce denials and secure faster reimbursements.

Underpayments are one of the biggest hidden threats to a healthcare organization’s bottom line. Unlike denials that demand immediate attention, underpayments often go unnoticed—quietly draining revenue and undermining financial health.

Clinical denials drain billions from healthcare each year, often due to preventable errors. From lack of medical necessity to documentation gaps and authorization issues, small mistakes cause major revenue loss. This guide highlights the top five denial reasons and proven strategies providers can use to prevent denials and protect financial health.

Master skin biopsy and excision coding in dermatology. Avoid claim denials with accurate CPT coding, proper modifier use, and strong documentation strategies.

Mental health billing codes for 2025 help therapists submit clean claims, avoid denials, and stay current with the latest CPT code updates.

Mental health billing software reduces errors, speeds up claim processing, lowers denials, and helps your practice get paid faster and manage finances better.

Find the best mental health billing companies in Rochester for 2025 that simplify claim management and payment accuracy.

Learn everything about Medicare G-Codes including G0010, G0438, G0439, billing tips, coverage rules, and common mistakes. Get a clear, simplified guide for accurate Medicare billing.

Looking for a billing partner that works seamlessly with your EHR? This 2025 guide ranks the best medical billing companies in California with real-time integration—starting with MBW RCM.

Overcome bariatric surgery pre-authorization challenges with step-by-step strategies to reduce friction, improve compliance, and protect your bottom line.

Facing denied claims or slow payments? This expert guide explains billing for mental health services and AR follow-up methods that drive real reimbursement results.

Get insights into 10+ denial management solutions to track monthly denial reasons, reduce claim rejections, and improve outcomes through consistent tracking.

This guide explains charge entry in RCM —what it involves, who handles it, when it occurs, and its role before claim submission.