The Revenue Cycle Blog
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Top 10 Revenue Cycle Trends in 2025: Every Healthcare Provider Needs to Know
The top revenue cycle trends for 2025 are set to transform healthcare finance. Find out how AI, analytics, and telemedicine are driving change.
Provider Credentialing 101: Your Complete Guide to the What, Why, and How
Provider credentialing goes beyond paperwork—it ensures compliance, patient safety, and revenue protection. This guide explains the process, challenges, and 2025 updates.
What is HCC Coding and Why Does It Matter?
Hierarchical Condition Category (HCC) coding is more than a compliance task—it directly influences reimbursement, patient care, and value-based care models. This blog explains what HCC coding is, why it matters, and how both providers and payers can benefit from getting it right.
The Last Stop: How Payment Posting Impacts Your A/R
Payment posting may be the last stop, but it determines the truth of your A/R. See how it impacts collections, denial trends, and practice revenue.
Understanding Payer-Specific Credentialing: Medicare vs. Commercial Insurance
Payer-Specific Credentialing is vital in healthcare. This blog explains how Medicare, Medicaid, and commercial insurance processes differ and impact your revenue.
Automation vs Manual Review: Choosing the Right Underpayment Strategy
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.
The Definitive Guide to Clinical Documentation Integrity: A Strategic Imperative for Modern Revenue Cycle Management
Clinical Documentation Integrity strengthens RCM by reducing denials, improving compliance, and preparing healthcare providers for the ICD-11 transition.
How Eligibility Verification in Revenue Cycle Reduces Claim Denials and Improves Cash Flow
Claim denials draining your revenue? See how eligibility verification in the revenue cycle secures payments and strengthens practice performance.
The Difference Between Provider Credentialing and Enrollment: And Why You Need Both
Clarifying the difference between provider credentialing and enrollment helps avoid compliance risks, claim denials, and revenue disruptions.
Navigating the Coding Maze: How to Avoid the Most Common Coding Errors
Coding mistakes cost providers revenue and compliance. Learn how to avoid common ICD, CPT, and modifier errors for cleaner claims and faster payment.
Reducing Patient Registration Errors: 8 Tips for Front-End Staff
Front-end accuracy is critical to revenue cycle success. Learn 8 strategies to prevent costly registration errors and improve patient safety.
Eligibility Verification 101: Why It’s the First Step to Clean Claims
Eligibility verification reduces claim denials, speeds reimbursements, improves patient satisfaction, and drives efficiency in healthcare revenue cycle management.
Enhancing Patient Check-In Processes: Tips for Reducing Administrative Delays
Enhancing patient check-in processes reduces delays, prevents claim denials, and improves both operational efficiency and healthcare revenue cycle performance.
Patient No-Shows: How Patient Activation Reduces Missed Appointments and Strengthens Your Revenue Cycle
No-shows drain productivity and revenue. Learn how patient activation—timely reminders, easy rescheduling, and tech-driven tools—keeps patients engaged and your schedule full.
Top 5 Best Practices for Efficient Prior Authorization in Revenue Cycle
Prior authorization delays disrupt care and cash flow. Learn five proven RCM best practices—proactive verification, automation, strong documentation, specialized teams, and effective denial management—to speed approvals and protect revenue.
KPIs That Matter: Measuring the Success of Your Eligibility Verification Process
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.
The Power of Pre-Visits: Boosting Patient Care and Profits Like Never Before
Pre-visits are quietly revolutionizing healthcare, strengthening patient care and boosting profits. Discover how this simple approach can improve your practice in the Value-Based Care era.
ICD 10 Code for UTI: A Complete Guide to Catheter-Associated Infections
Understanding ICD 10 coding for UTIs and CAUTIs. Explore T83.51 codes, documentation tips, and compliance strategies to prevent denials and boost revenue.
Understanding G Codes in Medical Billing: A Friendly Guide
G codes in medical billing ensure accurate reimbursement for specialized Medicare services, from preventive care to telehealth, filling gaps that CPT codes may miss. Understanding their use is essential for smooth billing and compliance.
What is Denial Management in Healthcare?
Did you know denial management in healthcare is essential for optimizing revenue cycles? It identifies issues, streamlines processes, and boosts cash flow.