Launching a new medical practice? This guide walks you through every step — from gathering documents and CAQH setup to Medicare PECOS enrollment and ongoing monitoring — so your practice is ready for patients and revenue from day one.

Timely filing may seem like a small compliance step, but missing payer deadlines can permanently erase revenue. This blog explains why claims expire, the true cost of timely filing denials, and the practical workflows every provider needs.

Charge capture is one of the most overlooked revenue cycle steps — yet it directly determines whether your services are reimbursed or lost to missed documentation. Clinicians are the first line of defense.

Patient appointment scheduling is more than a back-office task — it’s a core driver of patient access, provider efficiency, and financial performance. By integrating scheduling with Revenue Cycle Management (RCM), healthcare providers can reduce no-shows, improve collections, and enhance the patient experience. Learn how modern scheduling transforms healthcare operations.

Payment posting exceptions—such as partial payments, unexplained write-offs, and denial codes—often create confusion and revenue leakage. In this guide, we outline clear strategies to standardize exception handling, protect accuracy, and keep your revenue cycle running smoothly.

ABA audits are becoming more common, with nearly 40% of providers reviewed within five years. This proactive guide explains why audits happen, how to prepare, and what compliance steps protect your practice from denials and recoupments.

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.

Prior authorization denials cost billions in lost revenue and delay care. This step-by-step guide shows how to deconstruct denial letters, craft airtight appeal packages, and use data and automation to boost approvals in your revenue cycle.

Clearinghouses are often seen as digital mailboxes for claims—but they’re far more powerful. From scrubbing errors to tracking denials and accelerating payments, a modern clearinghouse can be your strategic partner in reducing revenue leakage and improving financial performance.

The Risk Adjustment Factor (RAF) score plays a critical role in HCC coding and healthcare reimbursement. More than just a number, it reflects patient complexity, determines provider payments, and ensures equitable funding for high-risk populations.

ABA claims are under tighter scrutiny than ever. Missing notes, expired authorizations, or inconsistent treatment plans can trigger denials. This A–Z checklist helps ABA providers build bulletproof documentation, stay audit-ready, and reduce claim rejections.

Prior authorization slows down ABA therapy and frustrates providers and families. This checklist explains how to verify coverage, gather documents, track renewals, and use tech or outsourcing to defeat delays—so your patients get timely care and your practice avoids revenue loss.

Credentialing is the gateway to compliance, trust, and financial success. Explore how modern credentialing strengthens revenue cycle management and patient safety.

Apply OB‑GYN CPT codes and modifiers correctly for successful claim submission. Medical billing services reduce denials and secure faster reimbursements.

Underpayments are one of the biggest hidden threats to a healthcare organization’s bottom line. Unlike denials that demand immediate attention, underpayments often go unnoticed—quietly draining revenue and undermining financial health.

Clinical denials drain billions from healthcare each year, often due to preventable errors. From lack of medical necessity to documentation gaps and authorization issues, small mistakes cause major revenue loss. This guide highlights the top five denial reasons and proven strategies providers can use to prevent denials and protect financial health.

As your practice grows from solo to group, billing demands increase. This guide shows how to scale mental health billing operations with workflows, technology, denial management, outsourcing, and patient-focused processes—backed by industry data and expert insights.

Master skin biopsy and excision coding in dermatology. Avoid claim denials with accurate CPT coding, proper modifier use, and strong documentation strategies.

Mental health billing codes for 2025 help therapists submit clean claims, avoid denials, and stay current with the latest CPT code updates.

Mental health billing software reduces errors, speeds up claim processing, lowers denials, and helps your practice get paid faster and manage finances better.