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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.

Practice manager working through a revenue cycle assessment checklist and scoring table at the start of the year

Revenue Cycle Assessment Checklist: What a Practice Audit Should Check

What a whole-cycle revenue assessment should review, from lead source to audit log: the reports to pull, six KPIs with published formulas and a simple scoring table.

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Practice manager reviewing which website tracking pixels can see patient data on a medical practice site

HIPAA Tracking Pixels on Medical Practice Websites: What’s Allowed Now

A June 2024 court ruling narrowed OCR’s tracking guidance, but it did not clear pixels for patient portals, logins or booking forms. Here is what OCR, the FTC and Washington State still require, with a page-by-page checklist for your practice website.

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Billing manager reviewing a multi-practice claim pipeline in medical billing software for billing companies

Medical Billing Software for Billing Companies: A 10-Point Checklist

A checklist for billing companies choosing software to run many practices: client separation, audit logs, claim ownership, underpayment checks, the BAA chain and X12 EDI.

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Virtual medical assistant at a desk working a prior authorization queue for a medical practice

Prior Authorization Staffing: In-House vs Virtual vs Outsourced

Should prior authorization sit with your front desk, a virtual medical assistant or an outsourced team? How to measure the work, compare the three models and vet any vendor, with current CMS rule dates.

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Cardiology biller reviewing an echo claim to choose modifier 26, modifier TC or a global claim

Modifier 26 vs TC in Cardiology Billing: Who Bills Which Part

Modifier 26, modifier TC or one global claim? How cardiology practices decide for echo, stress tests, Holter monitors, nuclear imaging and device checks, site by site.

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Billing manager reviewing a 2027 CPT code changes checklist beside a superbill and a fee schedule

2027 CPT Code Changes and the Medicare Fee Schedule: A Checklist

CPT 2027 brings 453 code changes on January 1, alongside a new Medicare fee schedule and quarterly HCPCS and NCCI updates. Here is what changed and a checklist to get ready.

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Practice manager reviewing a monthly denial root cause analysis grouped by reason code and workflow stage

Denial Root Cause Analysis: A Monthly Workflow for Medical Practices

A six-step monthly workflow for medical practices: pull remittance data, group denials by CARC/RARC and by where they start, assign owners, fix upstream and track the results.

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Practice manager tracing the four handoffs where a medical practice loses revenue, from ad to payment

Revenue Leakage in Healthcare: 4 Handoffs Where Practices Lose Money

Most lost revenue in a medical practice starts at a handoff, not in the billing office. Here are the four handoffs where money slips, who should own each one and how to measure it.

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Front desk staff member re-verifying a patient's new insurance card and reset deductible at the first visit of the year

January Deductible Reset: Eligibility and Patient-Estimate Checklist

Deductibles restart and plans change on January 1. Use this checklist to re-verify every patient, estimate what they owe, give self-pay patients a Good Faith Estimate and collect at the visit.

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Billing manager working through a year-end accounts receivable cleanup checklist beside an A/R aging report by payer

Year-End Accounts Receivable Cleanup Checklist for Medical Practices

A December checklist for medical practices: work A/R by payer and deadline, file and appeal before Medicare limits close, settle credit balances and snapshot your KPIs.

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Practice manager working through Medicare enrollment steps for a new provider in PECOS

Medicare Enrollment for New Providers: PECOS and CMS-855I Step by Step

The order of Medicare enrollment for a new physician or NPP joining a group: NPI, PECOS access, CMS-855I with reassignment, effective dates, revalidation and CAQH.

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Illustrated podiatry desk with a foot insert model, a plaster cast and a coverage checklist

L3000 HCPCS Code: Medicare Coverage, Modifiers and Billing

The L3000 HCPCS code is an HCPCS Level II foot insert code, not CPT. Here is when Medicare covers it, which modifiers go on the claim line, and what to check before the cast is taken.

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