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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.

Illustration of an insurance statement with a magnifying glass over highlighted lines

Explanation of Benefits (EOB): How to Read One and Use It

What an explanation of benefits shows, how it differs from the ERA your billing team posts from, and the review routine that catches short payments.

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Friendly illustrated physician beside a hospital monitor and clock with a claim form showing critical care minutes

Critical Care Billing: CPT 99291, 99292 and Time Rules

How critical care billing works for CPT 99291 and 99292: the 30 and 104 minute marks, bundled services, modifiers and Medicare’s split or shared rules.

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Illustration of a medical reception desk with a privacy screen, a sign-in clipboard and a turned-down monitor

HIPAA Front Desk Rules: A Practical Reception Checklist

What HHS actually allows at the counter: sign-in sheets, name calls, ID, minimum necessary and incidental disclosures, in a checklist your front desk can follow.

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Friendly illustrated billing specialist with a clipboard checklist of urology codes

Urology Billing: CPT Codes, Modifiers and Denials Guide

The do’s and don’ts of urology billing: common CPT codes, global periods, modifiers 25 and 57, NCCI bundling rules and a pre-bill checklist.

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Chiropractor adjusting a spine model beside a small code card

Chiropractic CPT Codes and Modifiers: 98940-98942, AT and 25

A practical reference to chiropractic CPT codes and modifiers: how regions set the CMT code, when AT, GA, GZ and 25 apply, and what notes support them.

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Small medical supply shop with a wheelchair and an enrollment checklist on the door

How to Start a DME Business: Enrollment, Bond, Billing

How to start a DME business that bills Medicare: accreditation, supplier enrollment, the surety bond, state licenses and the billing set-up to do before claim one.

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toe modifiers

Enhancing Collections in Podiatry: The Importance of Using Appropriate Modifiers

Enhancing Collections in Podiatry: The Importance of Using Appropriate Modifiers Table of Contents In the ever-evolving landscape of healthcare, podiatry practices face unique challenges in revenue cycle management (RCM). One critical aspect that can significantly enhance collections is the use of appropriate modifiers during the billing process. This article will delve into the importance of […]

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Enhancing Medical Billing Transparency

Enhancing Medical Billing Transparency: A Path to Trust and Revenue Growth

Enhancing Medical Billing Transparency: A Path to Trust and Revenue Growth Table of Contents In today’s complex healthcare landscape, transparency in medical billing has emerged as a pivotal factor in fostering patient trust and ensuring financial success for healthcare providers. As the industry evolves, understanding the importance of transparent medical billing becomes crucial for both […]

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EHR Medical Abbreviation

EHR Medical Abbreviation: Understanding Its Importance in Healthcare

Table of Contents In the field of the healthcare industry, EHR medical abbreviation is also known as Electronic Health Record. The term is crucial in the field of Revenue Cycle Management (RCM) and medical billing services. Why is it crucial? Because it helps healthcare professionals to improve their processes, increase patient care, and improve the […]

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Physical therapist with needles on a muscle model beside a billing clipboard

Dry Needling Billing: CPT 20560 and 20561 Coverage Guide

Dry needling billing for rehab practices: how CPT 20560 and 20561 differ, where Medicare stands, why commercial payers vary and what to check before you bill.

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Clinic and insurer buildings linked by a data pipe carrying claim files

EDI in Medical Billing: 837, 835 and 270/271 Explained

A plain-English guide to EDI in medical billing: the transactions your practice uses, the federal standards behind them, and how a claim moves from your system to the payer and back.

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Claim form with a level dial being turned down from high to low

Down Coding in Medical Billing: Causes, Payer Rules, Appeals

Down coding can mean your own team billed too low or a payer paid a lower E/M level than you billed. Here is how to tell which, confirm it and respond.

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