Expert Tips & Trends in Healthcare Revenue Cycle Management
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Why Compliance Should Be Part of Every Staff Meeting (Culture Focus)
Compliance should never be a once-a-year box to check. It needs to be woven into the daily culture of every practice. One of the most effective ways to do this is by including compliance topics in every staff meeting. Reinforcing Responsibility When compliance is part...
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The Credentialing Process from Start to Finish
In the world of healthcare, provider credentialing is a crucial yet often overlooked process. Whether you’re onboarding a new physician or managing a growing provider network, understanding the credentialing process from start to finish ensures compliance, speeds up...
Unlocking Your Coding Power: Why Quality Courses Matter
In today’s fast-paced healthcare landscape, medical coding is more than just data entry, it’s the backbone of accurate billing, revenue integrity, and regulatory compliance. Yet, many professionals overlook how transformative a high-quality medical coding course can...
Navigating Medical Accounts Receivable with HIPAA Compliance in Mind
In the complex world of healthcare finance, managing medical accounts receivable (AR) is more than just a numbers game, it’s a balancing act between financial performance and patient privacy. AR refers to the outstanding payments owed by patients or insurance...
FY2026 ICD-10-CM Updates Are Out! What You Need to Know Before October 1, 2025.
The FY2026 ICD-10-CM code updates have officially been released, bringing substantial changes that every medical coder, provider, and healthcare organization should begin preparing for before the October 1, 2025, effective date. These updates are designed to reflect...
Common RCM Bottlenecks and How to Eliminate Them with Workflow Automation
Revenue Cycle Management (RCM) is the lifeblood of any healthcare organization, bridging the gap between patient care and financial stability. Yet, for many practices, RCM bottlenecks in the workflow frequently result in delayed payments, high denial rates, and...
Credentialing Across Payors: Navigating Private vs. Medicare Timelines
Navigating the credentialing process in healthcare can often feel like a labyrinth, especially when comparing Medicare’s structured timeline with the variability of private payors. For providers and administrators managing multiple contracts, this challenge isn’t just...
How RCM Outsourcing Affects Staff Retention & Burnout
Healthcare organizations today face an undeniable challenge—skyrocketing staff burnout and turnover. Administrative teams, especially those managing the revenue cycle, are overburdened with repetitive tasks, increased patient volumes, and complex billing requirements....
EMR–RCM Integration: Key Data Points That Should Always Sync
Imagine running your practice with confidence knowing that payments will process smoothly and claims won’t languish in limbo. That’s the promise behind seamless EMR–RCM integration. It’s not just a technical enhancement; it's a strategic move that optimizes workflows,...
When to Conduct a Revenue Cycle Assessment (And What to Expect)
In today’s complex healthcare landscape, staying on top of your revenue cycle is more challenging—and more essential—than ever. A Revenue Cycle Assessment (RCA) is a structured review of your billing and coding processes, front-desk workflows, and system integrations....
The Financial Impact of Credentialing Delays: What Every Practice Should Know
Credentialing is a critical administrative task that enables healthcare providers to be reimbursed by insurance companies. When there are credentialing delays or the process is mismanaged, the effects can be financially damaging to your organization—yet it’s an area...