Orthopedic billing is complex, especially for joint replacements and fracture care. This guide breaks down essential strategies to ensure accurate coding, proper use of modifiers, and adherence to payer policies for better reimbursement and fewer denials.

Echocardiography billing is complex, with strict coding and documentation rules. This guide outlines key best practices to help your cardiology practice maximize reimbursement, reduce denials, and stay compliant.

Read how specialized ABA medical billing services helped a Phoenix clinic cut claim denials from 27% to 6% and reduce A/R days from 78 to 32.

Bariatric surgery billing requires accurate CPT coding, such as 43770–43775 for common procedures, and matching ICD-10 codes to justify medical necessity. Compliance with CMS documentation, correct modifier use, and timely pre-authorizations are essential to reduce denials and accelerate reimbursement in 2025.

Denied claims are the type of claims that were received and processed by the insurance payer and a negative determination was made. It is no wonder that in Physical Therapy there are a greater number of denied claims compared to any other specialty. Read more about reasons for claim denials in Physical Therapy and ways to rectify them.

Read how we recovered $200K in underpayments for an Atlanta radiology practice, restoring lost revenue and improving cash flow.

Tracking the right KPIs ensures better revenue management and client satisfaction. Learn how medical billing services can help optimize key performance metrics.

The top revenue cycle trends for 2025 are set to transform healthcare finance. Find out how AI, analytics, and telemedicine are driving change.

Learn how global resources are revolutionizing healthcare by tackling medical coding and HIM staff shortages, ensuring seamless operations and improved patient outcomes.

Discover how the Front-End Revenue Cycle serves as the cornerstone of financial success and an improved patient experience in healthcare. Learn about trends and strategies for optimizing patient registration, scheduling, and insurance processes.

Effective billing and coding practices are essential for optimizing reimbursements in behavioral and mental health services. Proper documentation, accurate coding, and adherence to specific coding guidelines, including those for prolonged services, are key factors for success.

Discover effective strategies for revenue cycle optimization in your medical billing company. Learn how to improve operational efficiencies and profitability with insights from Medical Billing Wholesalers' blog.

With headwinds of cost increases, reducing reimbursement rates, and declining patient visits, Physician practices must refocus on operational efficiencies to achieve profits sustainably. Revenue cycle KPIs are essential in measuring your Practice's performance and guide on improving.

Process rigor is essential in revenue cycle transformation because it helps ensure the accuracy, consistency, and efficiency of the revenue cycle processes. A lack of process rigor can result in errors, duplications, and delays that can negatively impact the financial performance of an organization.

For hospitals, healthcare systems, and even mid to large physician practices, 2022 was the worst financial year in decades. Healthcare providers already reeling under the impact of the long period of adversity due to COVID-19 were further impacted by inflationary impact and increasing cost of healthcare supplies. Protecting the revenue and doing more with fewer resources are the central themes on the minds of RCM leaders. The impact of the great resignation has left them short of both administrative and clinical workforce.

2023 promises to be a super-charged year with an increasing pace of consolidation, innovation, and adoption of new ways of doing work. We discuss some of the trends impacting healthcare and the revenue cycle.

The rising costs of caring, economic uncertainty, the impact of the great resignation, the consequent labor shortages, and the multi-year delay in investing in technology and processes to re-engineer the financial process have created a perfect storm. Worsening the condition is the demand for medical care slowly shifting from hospitals to ambulatory care settings.

Here’s a list of top considerations for choosing the right revenue cycle technology for your organization:

Healthcare administrative talent will be in short supply for many years, and medical billing and coding offer lucrative career options. This blog discusses the importance of medical coding, the career opportunities it provides, and how medical coding will play a critical role in defining the quality of care.

In this edition of the NSCHBC Edge Podcast, Terry Fletcher invites NSHCBC members Vinod Sankaran and Misty Haralson for an RCM Round table discussion.

Hear fellow healthcare consultants in the RCM space discuss physician and dental practice pain points and how to be efficient in your Revenue Cycle Management efforts.