The Revenue Cycle Blog
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The Power of Partnership: Why Outsourcing HCC Coding is a Smart Strategy
This guide explains how professional coding partnerships reduce under-coding, strengthen RAF scores, and give healthcare organizations the scalability and efficiency they need to thrive in value-based care.
How Medical Practices Can Improve Accounts Receivable Management Services?
Handling accounts receivable properly helps medical practices avoid delayed payments and claim issues. Explore five simple methods to ensure timely reimbursements, improve patient payment rates, and strengthen revenue tracking.
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.
Prior Authorization 101: How to Reduce Wait Times in 2025
Prior authorization delays disrupt timely care. This guide reveals strategies like using ePA systems, ensuring complete documentation, and staying updated
Credentialing in Medical Billing: Types and Challenges
Your guide to credentialing in medical billing: Learn how to tackle challenges, understand types and achieve faster claim approvals.
Top 10 Revenue Cycle Trends in 2025: Every Healthcare Provider Needs to Know
The top revenue cycle trends for 2025 are set to transform healthcare finance. Find out how AI, analytics, and telemedicine are driving change.
Provider Credentialing 101: Your Complete Guide to the What, Why, and How
Provider credentialing goes beyond paperwork—it ensures compliance, patient safety, and revenue protection. This guide explains the process, challenges, and 2025 updates.
What is HCC Coding and Why Does It Matter?
Hierarchical Condition Category (HCC) coding is more than a compliance task—it directly influences reimbursement, patient care, and value-based care models. This blog explains what HCC coding is, why it matters, and how both providers and payers can benefit from getting it right.
The Last Stop: How Payment Posting Impacts Your A/R
Payment posting may be the last stop, but it determines the truth of your A/R. See how it impacts collections, denial trends, and practice revenue.
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.
Automation vs Manual Review: Choosing the Right Underpayment Strategy
Choosing between manual review and automation is key to stopping underpayments. Here’s how to decide what works best for your practice’s revenue cycle.
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.
The Difference Between Provider Credentialing and Enrollment: And Why You Need Both
Clarifying the difference between provider credentialing and enrollment helps avoid compliance risks, claim denials, and revenue disruptions.
Navigating the Coding Maze: How to Avoid the Most Common Coding Errors
Coding mistakes cost providers revenue and compliance. Learn how to avoid common ICD, CPT, and modifier errors for cleaner claims and faster payment.
Reducing Patient Registration Errors: 8 Tips for Front-End Staff
Front-end accuracy is critical to revenue cycle success. Learn 8 strategies to prevent costly registration errors and improve patient safety.
Eligibility Verification 101: Why It’s the First Step to Clean Claims
Eligibility verification reduces claim denials, speeds reimbursements, improves patient satisfaction, and drives efficiency in healthcare revenue cycle management.
Enhancing Patient Check-In Processes: Tips for Reducing Administrative Delays
Enhancing patient check-in processes reduces delays, prevents claim denials, and improves both operational efficiency and healthcare revenue cycle performance.
Patient No-Shows: How Patient Activation Reduces Missed Appointments and Strengthens Your Revenue Cycle
No-shows drain productivity and revenue. Learn how patient activation—timely reminders, easy rescheduling, and tech-driven tools—keeps patients engaged and your schedule full.