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.

Illustration of a calculator, an insurance card and an EOB sheet on a front-desk counter

Calculate Patient Responsibility: Deductible, Copay, Coinsurance

A step-by-step method to calculate patient responsibility from the allowed amount, with a worked example covering deductible, copay, coinsurance and the out-of-pocket maximum.
How Therapists Get Paid by Insurance

How Do Therapists Get Paid By Insurance in the USA?

How Do Therapists Get Paid By Insurance in the USA? Table of Contents Understanding how therapists get reimbursed by insurance is crucial for both mental health professionals and their clients. This comprehensive guide will walk you through the processes involved, the importance of credentialing, and tips for smoother reimbursement. In the ever-evolving landscape of healthcare, […]

HIPAA compliant video conferencing

HIPAA Compliant Video Conferencing: Ensuring Security in Healthcare Communication

Table of Contents   In today’s digital age, HIPAA compliant video conferencing has become essential for healthcare providers. As more medical practices shift to virtual consultations, ensuring that these platforms meet HIPAA guidelines is crucial for protecting patient privacy and sensitive information. This article delves into the importance of HIPAA compliance in video conferencing, especially […]

Friendly illustrated billing specialist with a hospice patient's chart choosing between GV and GW modifier cards

GV and GW Modifiers for Hospice Patients: When to Use Each

GV and GW modifiers tell Medicare whether a Part B service for a hospice patient is the attending physician’s related care or an unrelated service. Here is how to pick the right one and avoid the denials.
Clinic building on a map pin beside a row of search result cards, illustrated in soft teal

Healthcare SEO Guide: Local Search, Content and Trust

A sourced guide to healthcare SEO for medical practices: local search, Google Business Profile, E-E-A-T, reviews and HIPAA-aware tracking, with no invented statistics.
hipaa Compliance in medical Billing

HIPAA Compliance in Medical Billing [Updated 2025]: A Comprehensive Overview

HIPAA Compliance in Medical Billing [Updated 2025] : A Comprehensive Guide For healthcare Providers Table of Contents In today’s healthcare world, keeping patient information safe is very important. As health records become more digital, we need strong measures to protect this data. The Health Insurance Portability and Accountability Act (HIPAA) helps ensure that sensitive patient […]

Illustration of two codebooks side by side with a small syringe and wheelchair icon

HCPCS vs CPT: Level I, Level II and Who Maintains Each

CPT is HCPCS Level I; Level II is a separate CMS code set for drugs, supplies, equipment and ambulance. Here is who maintains each and when to use which.
Aesthetic clinic reception with a tablet, plants and an appointment calendar, illustrated in soft colors

Aesthetic Practice Marketing: How to Attract Cash-Pay Patients

A practical, compliance-aware plan for aesthetic practice marketing: get found locally, answer inquiries fast, use reviews and photos within the rules, and track booked consults.
how to get out of network claims paid

Get Out-of-Network Claims Paid | Experts Guide [Latest 2025]

How to Successfully Get Out-of-Network Claims Paid Table of Contents Navigating the complexities of healthcare insurance can be daunting, especially when it comes to out-of-network (OON) claims. Understanding the process is essential for both patients and providers. This guide provides clear insights into how to ensure reimbursement for out-of-network services, making the journey smoother for […]

Illustrated wheelchair and oxygen unit beside a signed written order and a delivery receipt on a billing desk

DME Billing Compliance: Medicare Documentation Checklist

What Medicare expects behind every DME claim: the written order, face-to-face rules, proof of delivery, medical records and supplier standards, with a pre-bill check.
Billing specialist comparing a colonoscopy procedure note with a claim checklist

Gastroenterology Billing: Colonoscopy Codes, Modifiers and Denials

How to code screening versus diagnostic colonoscopy, use PT, KX and 53 on Medicare, check frequency limits and cut avoidable GI denials.
Illustrated balance scale with coins on one side and a heart on the other, representing per-service and results-based payment

Fee-for-Service vs Value-Based Care: What Changes in Billing

Fee-for-service pays per service; value-based care adds a payment tied to results. Here is how they differ, which Medicare programs matter in 2026 and what changes in billing.

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