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

Orthopedic billing is complex, especially for joint replacements and fracture care. This guide breaks down essential strategies to ensure accurate coding, proper use of modifiers, and adherence to payer policies for better reimbursement and fewer denials.

Echocardiography billing is complex, with strict coding and documentation rules. This guide outlines key best practices to help your cardiology practice maximize reimbursement, reduce denials, and stay compliant.

Efficient patient registration and clear communication are essential to healthcare RCM, reducing errors, minimizing claim denials, and ensuring financial stability.

Patient registration is the gateway to revenue cycle success. Accurate data and eligibility checks reduce denials, speed up payments, and build patient confidence from day one.

Bariatric surgery billing requires accurate CPT coding, such as 43770–43775 for common procedures, and matching ICD-10 codes to justify medical necessity. Compliance with CMS documentation, correct modifier use, and timely pre-authorizations are essential to reduce denials and accelerate reimbursement in 2025.

Denied claims are the type of claims that were received and processed by the insurance payer and a negative determination was made. It is no wonder that in Physical Therapy there are a greater number of denied claims compared to any other specialty. Read more about reasons for claim denials in Physical Therapy and ways to rectify them.

Read how we recovered $200K in underpayments for an Atlanta radiology practice, restoring lost revenue and improving cash flow.

Tracking the right KPIs ensures better revenue management and client satisfaction. Learn how medical billing services can help optimize key performance metrics.

The top revenue cycle trends for 2025 are set to transform healthcare finance. Find out how AI, analytics, and telemedicine are driving change.

Payer-Specific Credentialing is vital in healthcare. This blog explains how Medicare, Medicaid, and commercial insurance processes differ and impact your revenue.

Choosing between manual review and automation is key to stopping underpayments. Here’s how to decide what works best for your practice’s revenue cycle.

Claim denials draining your revenue? See how eligibility verification in the revenue cycle secures payments and strengthens practice performance.

Discover how the Front-End Revenue Cycle serves as the cornerstone of financial success and an improved patient experience in healthcare. Learn about trends and strategies for optimizing patient registration, scheduling, and insurance processes.

Effective billing and coding practices are essential for optimizing reimbursements in behavioral and mental health services. Proper documentation, accurate coding, and adherence to specific coding guidelines, including those for prolonged services, are key factors for success.

Discover effective strategies for revenue cycle optimization in your medical billing company. Learn how to improve operational efficiencies and profitability with insights from Medical Billing Wholesalers' blog.

With headwinds of cost increases, reducing reimbursement rates, and declining patient visits, Physician practices must refocus on operational efficiencies to achieve profits sustainably. Revenue cycle KPIs are essential in measuring your Practice's performance and guide on improving.