RCM Finder Resource Center

Healthcare RCM Blog

Practical guidance on medical billing, coding, compliance and practice growth, written for practice managers and physicians.

380+
Published guides
8
Topic areas
Every guide is reviewed by Awais Afzal, founder of RCM Finder.

Browse by topic

Latest guides

Newest first. Use the page numbers at the bottom to reach every guide.

Illustrated calendar flipping backwards with an approval stamp and a claim folder

Retro Authorization in Medical Billing: Rules, Steps and Limits

Retro authorization asks a payer to approve care after it was delivered. Learn when it is possible, how to request it, and what to do when the payer refuses.
recoupment meaning in medical billing

Understanding Recoupment in Medical Billing: A Comprehensive Guide

In the intricate landscape of healthcare, financial stability is paramount for providers. One significant aspect that can impact this stability is recoupment in medical billing. In this article, we will delve deep into what recoupment is, how it affects healthcare providers, the relevant statistics, and best practices for managing it effectively. What is Recoupment in […]

Friendly illustrated scanner room with a folder of labelled scan sheets and a coding reference

Radiology CPT Codes: How They Are Organized and Billed

A plain-English map of the radiology CPT codes (the 70000 series): how they are grouped, what modifiers 26 and TC split, and the CMS bundling rules that trip up imaging claims.
90834 cpt code time range

Understanding Psychotherapy Billing: A Comprehensive Guide to CPT Codes 90834 and 90837

In the ever-evolving landscape of healthcare, medical billing remains one of the most critical yet challenging aspects, particularly in the field of mental health. For therapists and mental health practitioners, understanding the intricacies of billing, especially related to psychotherapy sessions, is essential for ensuring proper reimbursement. This comprehensive guide will delve deep into the nuances […]

Approval stamp on a form moving between a clinic desk and an insurer desk

Prior Authorization in Medical Billing: Process and 2026 Rules

How prior authorization works in medical billing, what changed for covered payers in 2026, and how a practice can keep requests from stalling.
Pre-surgery checklist beside a stethoscope and blood sample tubes

Pre-Op ICD-10 Codes: Z01.81x, Pre-Op Labs and Billing Rules

Pre-op ICD-10 codes sit in subcategory Z01.81. Here is what each code means, how to code pre-op labs, and which global surgery and Medicare rules to check before you bill.
Practice Management Systems

Understanding Practice Management Systems: A Key to Efficient Revenue Cycle Management

In the healthcare industry, managing patient care and administrative tasks efficiently is crucial for success. One of the essential tools that assist in this endeavor is a Practice Management System (PMS). This article explores what a PMS is, its key components, and how it enhances Revenue Cycle Management (RCM) in healthcare. We will delve into […]

Illustration of a copay receipt and patient statement for the PR-3 denial code

PR-3 Denial Code: Copay Patient Responsibility Explained

PR-3 is not a rejected claim. It tells you the copay is the patient’s to pay. Learn how to read it, bill it, and tell it apart from CO and workers’ comp codes.
Illustrated clinic building and hospital outpatient building side by side, representing POS 11 and POS 22

POS 11 vs POS 22: Office vs Hospital Outpatient Billing

POS 11 is the office, POS 22 is a hospital’s main campus outpatient department, and POS 19 is the off-campus one. Here is how each changes the Medicare rate on a professional claim.
payment posting

Understanding Payment Posting Services in Revenue Cycle Management

In the healthcare industry, effective revenue cycle management (RCM) is crucial for ensuring that medical practices and facilities are paid promptly for the services they provide. One of the key components of RCM is payment posting services. This article aims to break down the complexities of payment posting and highlight its importance in the overall […]

Illustrated stack of remittance slips being matched to a ledger with a checkmark

Payment Posting in Medical Billing: Steps, Codes and Controls

What payment posting is, the six steps that keep it accurate, how to read ERA codes, and what posting reveals about denials, underpayments and overpayments.
Illustration of an infusion chair and a radiation machine beside a billing checklist

Oncology CPT Codes: Chemo, Infusion and Radiation Billing

A plain-language map of the oncology CPT codes a billing team deals with, and the Medicare bundling and drug waste rules that decide whether the claim pays.

See where your claims are leaking

Send us your last 3 months of claim data and we will show you where money is being lost, at no cost.

Request a free claim audit
The RCM Finder portal, in seven pages
See how one portal runs your revenue cycle, from the visit to the payment.
The pain points it solves for practices and billing companies, what makes it different, screens from the portal and the reports ready on day one.
Download the overview (PDF)Start your practice