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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.

Companies Like Health Plan One

Companies Like Health Plan One: A Complete Guide to Healthcare Payers

With constant changes in the medical field, it is important that medical practices find trusted partners. Companies like Health Plan One offer fundamental services that make patients happy and facilitate the functioning. In this article, I will discuss the best healthcare payers firms, their ability to assist your practice, in terms of revenue cycle management […]

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Illustrated claim form with warning flags and a checklist beside it

Common Medical Billing Mistakes and How to Prevent Them

Eight common medical billing mistakes, where each one starts, and the checkpoint that stops it, based on CMS, KFF, OIG and eCFR sources.

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Moderate Sedation Coding ED

Coding Moderate Sedation in the Emergency Department: A Comprehensive Guide

In the fast-paced environment of the emergency department (ED), effective pain management is crucial for patient care. One of the key methods to achieve this is through moderate sedation. Understanding how to properly code moderate sedation is essential for healthcare providers to ensure accurate reimbursement and compliance. This article provides a comprehensive overview of moderate […]

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Friendly illustration of an IV pole beside a home armchair with a medical billing folder

Home Infusion Therapy Billing: Medicare Codes and IVIG Rules

Which codes and payer rules apply to home infusion and home IVIG: Medicare G-codes, J-code drug claims, S-code per diems and the Q2052 checklist.

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Illustrated surgeon and optometrist passing a patient chart between two desks with a claim form between them

Cataract Co-Management Billing: Modifiers 54, 55 and 56 Explained

How cataract co-management billing works under Medicare’s global surgery rules: the global period, modifiers 54, 55 and 56, the transfer agreement and who bills what.

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Friendly illustrated remittance slip with an adjustment line and a calculator

CO-45 Denial Code: Meaning, Causes and What to Do

CO-45 is a contractual adjustment on a remittance, not a coding or experimental-service denial. Learn what it means, when it is correct and when to question it.

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A claim folder being redirected from one office building to a managed care plan office, illustrating a wrong-payer denial

CO-24 Denial Code: Capitation or Managed Care Plan Explained

CO-24 is not a medical necessity denial. Learn what it really means, why payers send it, and how to find the right payer and rebill.

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Illustration of a paper claim form with numbered boxes and a highlighter

CMS-1500 Claim Form: Box-by-Box Guide for Medical Billers

A plain walkthrough of the CMS-1500 claim form: what each zone holds, which boxes cause rework, when paper is still allowed, and how to run claim creation.

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Illustrated returned envelope with a sticky note being corrected at a billing desk

Clearinghouse Rejection Codes: What They Mean and How to Fix

A rejection is not a denial. Learn where clearinghouse rejection codes appear, how to read a 277CA, and how to correct and resubmit before the filing limit runs.

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Medical coder comparing a provider note with a chest pain ICD-10 code list at a clinic desk

Chest Pain ICD-10 Codes: R07.9, R07.89 and R07.1 Explained

Which R07 code fits a chest pain visit, when R07.9 is correct, and when a confirmed diagnosis replaces the symptom code. Updated for the FY 2027 guidelines.

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Illustrated billing clerk entering codes on a monitor beside a patient chart folder

Charge Entry in Medical Billing: Steps, Common Errors, Fixes

What charge entry in medical billing is, the data every charge line needs, when to enter it, the errors to watch for and who does the work.

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national latino physician day

Celebrating National Latino Physician Day: Importance and Impact on Healthcare

Every October 1st, we celebrate National Latino Physician Day 🌟—a day to recognize Latino doctors for their incredible work and remind everyone how important it is to have more diversity in healthcare. Latino physicians don’t just provide care; they bring cultural understanding that helps Latino patients feel seen and supported, especially when facing unfair gaps in healthcare […]

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