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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

Medical Coding97ICD-10, CPT and modifiersBilling and Claims73Claims managementSpecialty Billing55Specialty and niche billingRevenue Cycle59A/R and denialsMedicare and Compliance40Payer rules and complianceMarketing and Growth22Outsourcing and growthCredentialing18Payer enrollmentPractice Management17EHR and staffing

Latest guides

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

Billing team member comparing a lipid note with hyperlipidemia ICD-10 code cards E78.5 and E78.2

Hyperlipidemia ICD-10 Codes: E78.5 and When to Use Others

Which hyperlipidemia ICD-10 code fits, when E78.5 is only the fallback, and which Excludes notes matter for your claims. Checked against the FY2027 code set.

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Illustration of an anesthesia monitor with a clock and unit tiles representing anesthesia billing

Anesthesia Billing: Base, Time and Modifier Units Explained

How anesthesia claims are priced: base units, 15-minute time units, modifying units and the conversion factor, plus the payment modifiers (AA, QK, QX, QY, QZ, AD) that decide who gets paid and how much.

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Two claim forms side by side, one for a hospital building and one for a physician

Hospital vs Professional Billing: Facility and Physician Claims

A hospital stay or visit usually produces two bills: one from the facility and one from the clinician. Here is who bills what, on which claim, and how Medicare pays each.

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Illustrated revenue cycle loop from patient visit to claim to payment for a medical practice

Healthcare Revenue Cycle Management: The 10 Steps Explained

A plain-language guide to healthcare revenue cycle management: the ten steps from scheduling to patient balance, the metrics worth tracking and where claims go wrong.

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Practice manager reviewing five payer payment models on a desk with remittance statements

Types of Reimbursement in Healthcare: 5 Payment Models Explained

Fee-for-service, pay-for-performance, shared savings, bundled payments and capitation compared: how each pays, where the risk sits and what to check in your payer contracts.

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Illustration of a head with a coding checklist for headache and migraine ICD-10 codes

Headache ICD-10 Code: R51.9, R51.0 and Migraine Codes

R51 alone is no longer billable. See which headache ICD-10 code to use, how migraine, tension-type and cluster codes differ, and what documentation backs each one.

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HCC Coding

Understanding HCC (Hierarchical Risk Adjustment) for Enhanced Coding and Care

In today’s healthcare landscape, accurate coding is crucial not only for maximizing reimbursement but also for delivering high-quality patient care. One of the key methodologies employed is Hierarchical Risk Adjustment (HCC), which plays a critical role in how healthcare providers are compensated. This comprehensive guide delves into HCC, its importance, coding strategies, and best practices […]

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Billing manager checking a patient chart against a risk score checklist

HCC Coding Explained: Risk Scores, Audits and Documentation

What HCC coding means, how risk scores connect to Medicare Advantage payment, what auditors check in a record, and the documentation habits that keep diagnoses defensible.

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Friendly illustrated doctor's desk with a calendar, a follow-up card and a checkmark

Follow-Up ICD-10 Codes: Z09, Z08 and Aftercare Codes Explained

Which ICD-10-CM code goes on a follow-up visit after treatment is finished? Z09, Z08 and the aftercare codes compared, plus how hospital follow-up visits are billed.

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what is eob date

Understanding EOB in Medical Billing: Key For Providers Success

In the complicated world of healthcare billing, the Explanation of Benefits (EOB) document plays a key role in managing revenue. This guide will explain what EOBs are, why they matter for healthcare providers, and share best practices for using them effectively to improve billing accuracy and financial results. What is an EOB? Definition and Purpose […]

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Entity Codes in Medical Billing

Understanding Entity Codes in Medical Billing: A Comprehensive Guide

Medical billing is a complex process that requires precise coding to ensure healthcare providers receive the payments they deserve. One critical aspect of this process is the entity code. In this article, we will explore what entity codes are, their significance in medical billing, how to avoid common errors associated with them, and the impact […]

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Illustrated claim form with one highlighted field bouncing back from a clipboard

Entity Code Rejection in Medical Billing: Causes and Fixes

An entity code rejection means the payer’s acknowledgment pointed at one party on your claim: the billing provider, the subscriber or another. Here is how to read it, fix it and stop it coming back.

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