The Revenue Cycle Blog
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Boost Your Revenue Cycle: How HCC Coding Services Maximize Reimbursement
Accurate HCC coding is the foundation of a healthy revenue cycle. From higher reimbursement to reduced audit risk, here’s how professional coding services protect both compliance and profitability.
The Charge Capture Checklist: 7 Things Your Team Should Be Doing Daily
Charge capture errors silently drain revenue from healthcare organizations, often costing 1–3% of net income annually. The solution isn’t complex software—it’s a disciplined daily routine. This blog covers seven essential steps your team should complete every day to catch missed charges, improve accuracy, and strengthen financial stability from the start.
How to Prepare for a Medicare Risk Adjustment Data Validation (RADV) Audit
Medicare RADV audits present significant financial and compliance challenges. Inaccurate HCC coding can result in penalties and lost revenue. This blog covers 6 strategic steps to enhance documentation, leverage technology, and ensure audit readiness.
The Credit Balance Conundrum: A Hidden Source of Revenue Cycle Risk
Think a credit balance means extra cash? Think again—it’s a hidden risk to compliance, A/R accuracy, and patient trust. Discover how to resolve and prevent it before it costs you.
Top 5 HCC Coding Mistakes and How to Avoid Them
This blog highlights the top 5 HCC coding mistakes and provides actionable strategies to prevent them, ensuring accurate documentation, higher RAF scores, and stronger revenue integrity.
“DNFB” is Not a Swear Word: How to Master the Discharges Not Fully Billed Report
DNFB reports may look like back-office paperwork, but they reveal where your revenue cycle is stuck. Learn how managing Discharges Not Fully Billed impacts cash flow and financial health.
CDI and Revenue Integrity: Two Sides of the Same Coin
Clinical Documentation Integrity (CDI) and Revenue Integrity are two sides of the same coin—working together to improve documentation accuracy, prevent denials, ensure compliance, and protect financial stability. This guide shows how aligning these functions strengthens both patient care and revenue outcomes.
How to Lower Your Medical Practice’s Denial Rate: 5 Expert Strategies
Claim denials cost practices thousands each year. This guide reveals 5 expert-backed strategies to lower your denial rate—from eligibility verification to denial analytics—helping you protect revenue and improve cash flow
Is Your Revenue Cycle Leaking Cash? Why Credentialing and Re-Credentialing Are Critical
Credentialing and re-credentialing aren’t just paperwork—they’re vital to keeping your revenue cycle secure. Missed steps lead to denials, compliance risks, and unrecoverable losses.
Better Together: How Patient Access and Revenue Cycle Management Are Unlocking New Value for Healthcare Providers
Integrating Patient Access with Revenue Cycle Management (RCM) streamlines healthcare operations, reduces denials, and improves collections. By connecting scheduling, eligibility, billing, and payments, providers enhance patient experience and financial health. Learn how healthcare integration creates efficiency, transparency, and measurable results for both patients and organizations.
Beyond the Dollars: How Accurate HCC Coding Improves Patient Care
Accurate HCC coding isn’t just about risk scores or reimbursement—it’s about building complete patient stories that drive proactive care, stronger coordination, and better health outcomes.
Understanding Payer-Specific Credentialing: Medicare vs. Commercial Insurance
Payer-Specific Credentialing is vital in healthcare. This blog explains how Medicare, Medicaid, and commercial insurance processes differ and impact your revenue.
The Definitive Guide to Clinical Documentation Integrity: A Strategic Imperative for Modern Revenue Cycle Management
Clinical Documentation Integrity strengthens RCM by reducing denials, improving compliance, and preparing healthcare providers for the ICD-11 transition.
How Eligibility Verification in Revenue Cycle Reduces Claim Denials and Improves Cash Flow
Claim denials draining your revenue? See how eligibility verification in the revenue cycle secures payments and strengthens practice performance.
Traits to look for in your revenue cycle partner
Most companies struggle with the emotional outsourcing decision that changes the status quo. When you eventually make the outsourcing decision, you must tread with caution. You rely on your partner to deliver the financial and clinical outcomes you value the most.
Top 7 Practice Management Software to know
For medical practices, the practice management software is their lifeline. It helps them register patients, manage appointments, contract with payers, submit claims, and obtain reimbursements for the services they provide. Please scroll below to learn more about few leading practice management softwares.
Top 5 Revenue Cycle Management Challenges in Specialty Healthcare
RCM for Specialty healthcare can be daunting to most healthcare organizations, considering the frequent changes in regulations. In addition, it can be complex as it requires attention to financial & administrative challenges that usually have a hyperbolic effect on its financial stability. This article brings you a few revenue cycle management challenges in Specialty Healthcare and a few tools & strategies to overcome them.