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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Newest first. Use the page numbers at the bottom to reach every guide.

Practice manager at a desk with a group credentialing checklist, shield badge and insurance cards

Insurance Credentialing for Group Practices: Step-by-Step Guide

How a group practice credentials its clinicians and enrolls under one tax ID: the order of steps, Medicare forms, CAQH and why effective dates matter.
pt billing units

A Comprehensive Guide to Physical Therapy Billing Units

Understanding the intricacies of billing units in physical therapy is vital for healthcare providers aiming to optimize their revenue cycle management (RCM). This guide breaks down the essential aspects of physical therapy billing units, ensuring that healthcare professionals can navigate this complex landscape effectively. What Are Physical Therapy Billing Units? Physical therapy billing units serve […]

Illustration of hip and knee joint models beside a claim form and pencil

Joint Replacement Billing: CPT Codes, Modifiers and Documentation

Which hip, knee and shoulder replacement CPT codes to use, how modifiers and the 90-day global period work, and what payers want in the record.
Practice manager at a desk with a Medicaid enrollment checklist, state map and shield badge icons

Medicaid Provider Enrollment: Steps, Documents and Timelines

How to enroll with your state Medicaid program: the steps, the documents, how screening works, why there is no standard timeline, and when you can bill.
Illustrated ambulance route map with a patient care report folder and mileage markers

Ambulance Billing Codes: HCPCS, Mileage and Documentation

Ambulance billing codes are HCPCS A-codes, not CPT. See the base-rate and mileage codes, loaded-mile rules and the records Medicare expects.
Outpatient surgery suite with a dental chair and two code cards labelled CDT and CPT to show ASC dental surgery billing

ASC Dental Surgery Billing: CDT vs CPT and Payer Limits

How an ambulatory surgery center bills a dental surgical case: which claims, which code sets, when a medical plan pays and the limits that deny payment.
Syringe icon beside a claim form and checklist for 96372 CPT code injection billing

96372 CPT Code: Injection Billing Rules, Modifiers and Denials

The 96372 CPT code reports one subcutaneous or intramuscular injection. Here is when it is billable, how it pairs with E/M visits, how JW and JZ work on the drug line, and what the note needs.
Physician desk with a timer, a notepad and three stair steps marked level 3

99213 CPT Code: Level 3 Office Visit, MDM, Time and Notes

The 99213 CPT code is a low-MDM or 20-minute established-patient office visit. Here is how to choose it, document it, avoid denials and read 2026 payment data.
90846 CPT Code

90846 CPT Code: The Real Rules for “Family Therapy Without Patient

Most therapists learn the hard way: Insurance companies do not pay for venting. If a frantic mother comes into your office to cry about her son’s behavior, your instinct is to listen and support her. That’s good therapy. But if you bill it wrong, that’s bad business. Unless you understand the strict, often annoying boundaries […]

Ambulance billing services

5 Proven Tips for Effective Ambulance Billing Services

Ambulance billing can be a complex and challenging process for healthcare providers, especially given the rapid changes in regulations and payer requirements. To ensure timely reimbursements and minimize claim denials, it’s crucial to adopt best practices in ambulance billing. This article outlines five proven tips that can enhance your ambulance billing services and improve your […]

Small clinic desk with aging report folders sorted by month for accounts receivable recovery

Accounts Receivable Recovery for Small Medical Practices

How a small practice can recover overdue accounts receivable: split payer and patient balances, work the oldest and largest first, meet appeal deadlines and collect patient balances with clear statements.
Illustrated A/R aging report with five dials and a bar chart on a practice manager's desk

Accounts Receivable Metrics: 5 Numbers to Track in A/R Reports

The five accounts receivable metrics a medical practice should track, the exact formulas from HFMA, MGMA and AAFP, and how to run the report so month-to-month numbers can be trusted.

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