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Revenue Cycle Management (A/R & Denials)
Practical guides to accounts receivable, denials, appeals and revenue cycle metrics, so you can find where money is leaking and fix it.
71 guides
ICD 10 for Lab Review: Stop RCM Denials Now
Optimize lab claim approvals with our ICD 10 for lab review guide. Reduce denials and enhance revenue cycle management for better financial health.
Explanation of Benefits (EOB): How to Read One and Use It
What an explanation of benefits shows, how it differs from the ERA your billing team posts from, and the review routine that catches short payments.
RAC Audit: Triggers, Process and How to Respond
What a Medicare RAC audit is, how far back it can look, how long you have to answer, and the appeal path if you disagree, with every rule dated to...
Patient Insurance Verification: Step-by-Step Guide for Practices
A practical guide to patient insurance verification: the seven checks to run, which method to use, and the denial reasons each check prevents.
CO-45 Denial Code: Meaning, Causes and What to Do
CO-45 is a contractual adjustment on a remittance, not a coding or experimental-service denial. Learn what it means, when it is correct and when to question it.
CO-24 Denial Code: Capitation or Managed Care Plan Explained
CO-24 is not a medical necessity denial. Learn what it really means, why payers send it, and how to find the right payer and rebill.
Best Key Features of Practice Management Software for RCM
Discover essential features of practice management software to optimize revenue cycle management and enhance patient care. [Latest 2025]
Best Medical Billing and Coding Companies: Your RCM Success Guide
Find elite Medical Billing and Coding Companies to optimize RCM. Get top clean claim rates, low A/R days, and expert coding services.
Automating Insurance Eligibility Verification: Steps and Pitfalls
How automated eligibility checks work, what CAQH data says they cost versus manual checks, where they fail, and a step-by-step rollout for a medical practice.
Accounts Receivable Recovery for Small Medical Practices
How a small practice can recover overdue accounts receivable: split payer and patient balances, work the oldest and largest first, meet appeal deadlines and collect patient balances with clear statements.
Accounts Receivable Metrics: 5 Numbers to Track in A/R Reports
The five accounts receivable metrics a medical practice should track, the exact formulas from HFMA, MGMA and AAFP, and how to run the report so month-to-month numbers can be trusted.
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