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.

accretive health

Recent Developments in Revenue Cycle Management: Key Highlights from Accretive Health and Access Healthcare

Recent Developments in Revenue Cycle Management: Key Highlights from Accretive Health and Access Healthcare Table of Contents The healthcare industry is always evolving, particularly in the realm of Revenue Cycle Management (RCM). This critical area ensures that healthcare providers can efficiently manage their financial processes, from patient registration to final payment. Recent updates from notable […]

Desk with a Medicare card, a calendar and a fee schedule book beside a calculator

Medicare Reimbursement: How to Get Paid Correctly Under the PFS

Medicare reimbursement is set by formula, so the real lever is claim accuracy. Learn how the 2026 and proposed 2027 rates work and where payment leaks.
payment integrity

Payment Integrity in Healthcare: Key to RCM Success [Latest 2025]

Understanding Payment Integrity in Healthcare: A Key to Effective Revenue Cycle Management Table of Contents In an ever-evolving healthcare landscape, the importance of ensuring accurate and timely reimbursements cannot be overstated. This is where the concept of payment integrity comes into play. This article delves into what payment integrity means, its significance in the healthcare […]

Place of Service 11

Place of Service 11: Understanding Its Role in Medical Billing

Table of Contents   In the world of billing for medical services, the Place of service 11 (POS 11) is vital to ensure precise reimbursement and adherence. This code signifies that a service was rendered by a doctor’s office, affecting the process of billing and the management of revenue (RCM). Understanding the way POS 11 functions within medical billing is […]

Patient Responsibility in Medical Billing

Patient Responsibility in Medical Billing: A Comprehensive Guide for Healthcare Providers

Table of Contents In the dynamic world of healthcare, the term Patient Responsibility has taken on a new level of importance. With over two decades of experience in healthcare and RCM, I have witnessed a significant shift in the financial landscape. Historically, insurance companies bore the majority of the financial burden for medical services. […]

Friendly illustrated microscope next to a slide tray and a lab report folder

Pathology CPT Codes: 88300-88309 Levels, 88321 and 26/TC

What the 88300-88309 levels mean, what CPT 88321 covers, how units work for stains and IHC, and when to use modifiers 26, TC, 91 and 59.
Front desk staff member and patient reviewing a simple installment schedule together at a clinic counter

Patient Payment Plans: How to Set One Up Without Losing Collections

How to set up patient payment plans in a medical practice: choose a design, check the legal rules, write the terms and track defaults.
Illustrated clinician's hand holding a tablet beside a heart-shaped chart folder

Palliative Care CPT Codes: E/M, ACP and ICD-10 Billing Guide

Which palliative care CPT codes apply by setting, how advance care planning and Medicare prolonged-service rules work, and what the note must show before the claim goes out.
Friendly illustrated pediatric exam room with a teddy bear, vaccine chart and billing clipboard

Pediatric Billing: Vaccines, Preventive Visits and Family Balances

The parts of pediatric billing that cause most denials and unpaid balances: vaccine administration codes, modifier 25, VFC and Medicaid rules, and family accounts.
Dislike Your Patients

Overcoming Negative Feelings: What to Do When You Dislike Your Patients

Overcoming Negative Feelings: What to Do When You Dislike Your Patients Table of Contents In the demanding field of healthcare, physicians often face the unsettling emotion of disliking their patients. This phenomenon, often rooted in burnout and compassion fatigue, can significantly impact the quality of care and the emotional well-being of healthcare providers. Understanding the […]

Illustrated front desk worker and patient with speech bubbles of simple icons: a bill, a question mark and a globe

Communication Barriers in Healthcare That Slow Payment

Communication barriers in healthcare are not only a clinical problem. Four gaps inside the revenue cycle decide whether claims go out clean and balances get paid, including language access duties under Section 1557 and Title VI.
Practice manager reviewing an OB/GYN billing checklist at a reception desk

Outsourcing OB/GYN Billing: A Practice Checklist

A decision checklist for OB/GYN practices weighing a billing vendor: global and split obstetric care, annual exams, devices, privacy terms and the reports to ask for.

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