Prior authorization delays disrupt care and cash flow. Learn five proven RCM best practices—proactive verification, automation, strong documentation, specialized teams, and effective denial management—to speed approvals and protect revenue.

Eligibility verification errors drive claim denials and delayed payments. Learn which KPIs—like denial rate, first-pass resolution, and verification time—help you optimize processes, reduce costs, and improve patient trust.

Pre-visits are quietly revolutionizing healthcare, strengthening patient care and boosting profits. Discover how this simple approach can improve your practice in the Value-Based Care era.

Understanding ICD 10 coding for UTIs and CAUTIs. Explore T83.51 codes, documentation tips, and compliance strategies to prevent denials and boost revenue.

G codes in medical billing ensure accurate reimbursement for specialized Medicare services, from preventive care to telehealth, filling gaps that CPT codes may miss. Understanding their use is essential for smooth billing and compliance.

Did you know denial management in healthcare is essential for optimizing revenue cycles? It identifies issues, streamlines processes, and boosts cash flow.

Check how patient scheduling reduces wait times and boosts patient satisfaction. Read the 6 best practices to improve workflow and revenue management in healthcare.

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

Read how revenue cycle analytics optimizes healthcare billing, claims and collections. Learn the benefits, key metrics, industry trends in AI & automation.

Learn the top 10 reasons for medical claim denials and how to prevent them. Improve your billing and reduce claim rejections.

Learn essential pediatric billing and coding practices with our guide. Improve accuracy, avoid denials, and ensure proper reimbursement with expert tips.

Explore the top challenges in healthcare credentialing that can impact service delivery and compliance. This guide identifies 9 key obstacles and provides expert insights and solutions to navigate the complex credentialing landscape effectively.

Navigating 2024's Strategies for DME Success with Modifiers and Durable Medical Equipment. Achieve mastery in billing accuracy and revenue optimization. Streamline operations with expert guidance. Contact us today to unlock your practice's full potential.

Explore the latest RCM trends shaping healthcare in 2024 with Medical Billing Wholesalers. From AI automation to telemedicine, stay ahead in reimbursement and patient care.

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.

Discover how Clinical Documentation Improvement (CDI) revolutionizes healthcare data management, enhancing patient care, data integrity, and financial outcomes. Unleash the potential of CDI to optimize your healthcare organization's data and drive better outcomes.

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.

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.

DRG-based reimbursement (Diagnosis-Related Group), plays a pivotal role in determining the payment healthcare facilities receive for treating Medicare patients. While the primary diagnosis code identifies the main reason for hospitalization, the significance of secondary DX codes in the DRG-based reimbursement process cannot be overstated.