The Revenue Cycle Blog
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Expert Insights from Leading Healthcare RCM Services Companies in Hawaii
Healthcare RCM Services Companies in Hawaii help hospitals, clinics, and small practices manage billing, coding, and collections while outsourcing and 2025 trends shape revenue cycles.
What Is Prior Authorization? The Ultimate Checklist for 24-Hour Turnarounds
What is prior authorization? This guide breaks down requirements, delays, and a checklist to help providers reach faster approvals with 24-hour turnaround.
All-in-One Charge Entry in RCM Guide for 2025
This guide explains charge entry in RCM —what it involves, who handles it, when it occurs, and its role before claim submission.
Why Patient Eligibility Verification Is Important Before Every Appointment
Patient Eligibility Verification before every visit helps prevent billing issues, claim denials, and ensures smoother operations for both patients and providers.
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.
How to Build a CDI Program That Supports Physicians, and Coders
Clinical Documentation Integrity (CDI) plays a critical role in both patient care and financial performance. By aligning physicians, coders, and compliance teams, a strong CDI program ensures accurate documentation, reduces denials, safeguards compliance, and drives better revenue outcomes. This guide highlights the essential steps to building a successful CDI program that supports quality care and long-term organizational stability.
Medical Billing Services in Texas: Designed for Local Healthcare Providers
Simplify your revenue cycle with expert medical billing services in Texas. Clean claims. Faster payments.
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
10 Reasons for Medical Claim Denials & Prevention
Learn the top 10 reasons for medical claim denials and how to prevent them. Improve your billing and reduce claim rejections.
Mastering New Patient CPT Codes: A Comprehensive Guide
Dive into the intricacies of new patient CPT codes with our comprehensive guide. From decoding coding guidelines to optimizing revenue cycles, gain the expertise needed to navigate medical billing with confidence.
Case Study: Physician Education helps resolve BMI Diagnosis Claim Denials of over $37 K
Many Primary Care Physicians lose money because of lack of understanding of payer specific claims submission guidelines. Educating physicians on their documentation responsibilities is an iterative process, that requires an understanding of the reasons for claim denials, ability to nail-down the issues that are causing the denials, determining the corrective actions, and hosting timely sessions between the denials team and the physicians to discuss them.