RCM Finder Resource Center

Healthcare RCM Blog

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

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Every guide is reviewed by Awais Afzal, founder of RCM Finder.

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Latest guides

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

Four colored puzzle pieces fitting into a clipboard scorecard beside a calendar, representing the MIPS categories and score

What Is MIPS in Healthcare? Categories, Scoring and Payments

A plain-English guide to MIPS: the four categories and weights, how the 0 to 100 final score is built and how Medicare payment adjustments are set.
Friendly illustrated therapist beside a small chart and calendar page on a desk

Medicare Mental Health Reimbursement: How 2026 Rates Work

What Medicare pays for psychotherapy in 2026 depends on a formula, not one national number. See the 2026 conversion factors, the 90832-90837 time rules and the telehealth dates.
Illustrated coin stack with a downward arrow beside a calendar and a small clinic building

Medicare Physician Fee Schedule Changes: 2026 to 2027

The Medicare conversion factor rose for 2026 and is proposed to fall for 2027. Here is what is final, what is proposed, and how a practice can size its own exposure.
medicare daily rate for skilled nursing facility 2025

Understanding Medicare Daily Rates for Skilled Nursing Facilities in 2024

As healthcare continues to evolve, staying informed about Medicare daily rates for Skilled Nursing Facilities (SNFs) is essential for patients, caregivers, and healthcare providers. The Centers for Medicare & Medicaid Services (CMS) has announced significant updates for 2024, including a 4% increase in daily rates, totaling an additional $1.4 billion in spending. This article will […]

medical specialty stereotypes

Understanding Medical Specialty Stereotypes: A Comprehensive Reality Check

In the dynamic landscape of healthcare, medical specialties play a vital role in patient care, ranging from anesthesiology to dermatology. However, these specialties are often clouded by stereotypes that can misinform medical students and the general public alike. This article explores the top ten medical specialty stereotypes, juxtaposing them against the realities of each field, […]

Illustration of a calculator, rising bar chart and a patient chair for a guide to medical marketing ROI

Medical Marketing ROI: How to Calculate It for Your Practice

A plain formula for medical marketing ROI, a worked example with clearly labelled illustrative numbers, and HIPAA- and FTC-aware ways to track what your marketing returns.
Understanding MERPs

Understanding Medical Expense Reimbursement Plans (MERPs): A Comprehensive Guide

Introduction to MERPs Medical Expense Reimbursement Plans (MERPs) serve as a crucial financial safety net for employees facing rising healthcare costs. As healthcare expenditures have escalated, employers are increasingly looking for innovative solutions to support their workforce while controlling costs. MERPs not only provide relief for employees but also present significant tax advantages for employers. […]

Coder comparing a patient chart with a claim and a check mark beside it

Medical Coding Audit: Types, Sample Size and Process

Which type of medical coding audit to run, how many charts to sample, who should review them and what to do when the audit finds an overpayment.
Three differently colored claim forms fanned out beside a computer, illustrating CMS-1500, UB-04 and 837 claims

Medical Claim Forms: CMS-1500 vs UB-04 vs 837 Explained

Which medical claim form applies to your billing? A plain guide to the CMS-1500, UB-04 and 837, how paper and electronic claims relate, and what Medicare expects.
Two desks, one with code books and one with claim forms, joined by an arrow

Medical Billing vs Medical Coding: What Each Does and Who You Need

Coding turns a visit into codes. Billing turns those codes into a paid claim. Here is how they differ, how they hand off, and how to decide who should do what.
Illustrated calendar with a clock and an envelope moving toward an insurance building

Timely Filing Limits: Medicare, Medicaid and Commercial Payers

Timely filing limits depend on the payer, not just the state. See where Medicare, Medicaid and commercial limits come from and how to keep claims from aging out.
medical billing cycle

Understanding Medical Billing Cycles: A Comprehensive Guide

In the fast-paced world of healthcare, understanding the medical billing cycle is vital for healthcare providers to ensure timely payments and maintain financial health. This article aims to provide an in-depth look at the medical billing cycle, breaking down its components, and highlighting the importance of effective revenue cycle management (RCM). What is the Medical […]

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