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 brain outline beside a claim form and a brainwave line

Neurology Billing Challenges: Coding, Denials and Prior Auth

The coding, drug-line and authorization gaps that cause neurology denials, with a pre-bill checklist.

Orthopaedic vs Orthopedic: A Real-World Guide for RCM Experts

Table of Contents If you work in healthcare, specifically in the back office handling revenue cycles, you know the struggle. You are staring at a screen, trying to get a claim out the door, and you see it. One document says orthopaedic with an “ae.” The next one says orthopedic with just an “e.” It’s […]

Illustrated map with two paths, one inside a network circle and one outside, leading to a medical practice

Out-of-Network Medical Billing: How It Works for Practices

How out-of-network medical billing works for practices: how claims get paid, what a superbill needs, which No Surprises Act limits apply, and where Medicare fits.
Illustrated eye exam chair with glasses, insurance cards and a claim checklist

Optometry Billing Services: Medical vs Vision Plan Claims

What optometry billing services should handle, how to decide between medical and vision plan billing, how Medicare treats refraction, and what to ask before you sign.
mental health billing services

Optimizing Behavioral and Mental Health Billing Services: A Comprehensive Guide

Optimizing Behavioral and Mental Health Billing Services: A Comprehensive Guide Table of Contents Introduction to Behavioral Health Billing In today’s complex healthcare landscape, effective Revenue Cycle Management (RCM) is essential, especially in the realm of behavioral and mental health services. With the increasing demand for mental health care, practitioners face unique challenges that require specialized […]

Optimizing Denial Management in Revenue Cycle Management

Optimizing Denial Management in Revenue Cycle Management

Optimizing Denial Management in Revenue Cycle Management Table of Contents In the complex realm of healthcare, efficient denial management is a cornerstone of effective Revenue Cycle Management (RCM). With rising claim denials impacting the financial health of practices, understanding how to optimize this process can significantly enhance revenue streams and contribute to the overall sustainability […]

Illustrated bedroom with a moon, a sleeping figure and a simple CPAP machine beside an ICD-10 code card

Obstructive Sleep Apnea ICD-10 Code: G47.33 and G47.3x Codes

G47.33 is the ICD-10-CM code for obstructive sleep apnea. See the other G47.3x codes, the Excludes1 rules and the sleep study codes that go on the claim.
Coder comparing an NSTEMI note with ICD-10-CM code cards I21.4 and I21.A1

NSTEMI Type 1 vs 2: ICD-10-CM Codes I21.4 and I21.A1

NSTEMI type 1 vs 2 changes the ICD-10-CM code. See when I21.4 or I21.A1 applies, why the cause is coded first for type 2, and what to check before you bill.
Illustration of a psychiatry office with a calendar, a claim form and a plant

Psychiatry Medical Billing: Codes, E/M Add-Ons and Denials

How psychiatry medical billing works: evaluation codes, E/M plus psychotherapy add-ons, telehealth place of service and the edits that cause denials.
Microscope beside a stack of medical records and a lab claim form

Lab Claim Documentation: What Medicare MACs Ask You to Send

Which records go with a pathology or lab claim, how to attach them and what to do when a claim rejects. Based on MAC and CMS guidance.
mental health cpt codes

Mental Health CPT Codes: A Comprehensive Guide

Table of Contents   Mental health CPT codes play a critical role in the world of healthcare and medical billing for accurate reimbursement and billing. These are very important codes for health care providers. In order to ensure that claims are properly documented, practices get paid on time. We have created this comprehensive guide for […]

Small clinic manager at a desk comparing claim folders and a laptop to decide on a billing service

Medical Billing Services for Small Practices: How to Decide

Whether to outsource, what the service should cover, and what to put in writing, with the HHS, CMS and OIG rules behind each point.

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