Revenue Cycle Optimization resources
How to measure, audit, and improve the revenue cycle -- from KPIs to full billing audits -- so you catch leaks before they compound.
Billing KPIs Small Practices Should Watch
The billing KPIs that actually matter for small medical practices. Learn which metrics to track, what benchmarks to target, and when to take action.
Read the Guide arrow_forwardChronic Care Management Billing (CPT 99490): The Complete Rules
CPT 99490 Chronic Care Management requirements: two chronic conditions, 20 minutes monthly, the consent rule, the care plan, and related codes 99439, 99487,.
Read the Guide arrow_forwardEFT vs Paper Check Payer Payments: Why Every Practice Should Convert
How payer EFT works, the CAQH CORE EFT and ERA operating rules, the days-saved versus paper check, and the steps to enroll every payer in EFT.
Read the Guide arrow_forwardElectronic Claim Submission vs Paper: The Real Comparison
Why electronic claim submission via X12 837 beats paper CMS-1500: HIPAA standards, the ASCA rule, processing time differences, and when paper still applies.
Read the Guide arrow_forwardERA vs EOB: The Real Difference Explained
ERA (X12 835 electronic remittance) vs EOB (patient explanation of benefits) — what each contains, who receives them, and why providers should rely on ERA.
Read the Guide arrow_forwardG2211 Add-On Code Explained: When and How to Bill It
G2211 (visit complexity inherent to E/M) — what CMS covers, when it applies, the documentation that supports it, and the 2024 activation for primary care.
Read the Guide arrow_forwardHospital Billing vs. Professional Billing: Complete 2026 Comparison Guide
Hospital vs professional billing differences: UB-04 vs CMS-1500 forms, facility vs professional fees, DRG vs CPT reimbursement, and when both apply.
Read the Guide arrow_forwardMedical Billing Glossary: 60 Core Terms Explained
Plain-language definitions for 60 medical billing terms: CARC, RARC, ERA, EOB, EFT, ABN, AOB, COB, MSP, NCD, LCD, RVU, NPI — sourced from CMS, X12, and AMA.
Read the Guide arrow_forwardMedical Billing KPI Dashboard Template (2026)
The 12 KPIs every billing dashboard should track, formulas, HFMA targets, and the dashboard layout that surfaces problems before they become revenue losses.
Read the Guide arrow_forwardPhysical Therapy CPT Codes: Cheat Sheet & Reimbursement Reference
Physical therapy CPT codes reference. Eval 97161-97164, treatment 97110/97112/97140/97530, modalities, 8-Minute Rule math, and KX modifier triggers.
Read the Guide arrow_forwardRevenue Cycle Management Best Practices for 2026: The Complete Operational Playbook
Practical RCM best practices: front-end eligibility, charge lag discipline, denial categorization, A/R aging triage, patient balance recovery, and a 90-day.
Read the Guide arrow_forwardRevenue Cycle Management Explained for Private Practices
Revenue cycle management for private practices explained: the 6 stages where revenue leaks, how to measure each, and the KPI cadence owners and managers need.
Read the Guide arrow_forwardThe Medical Billing Process Step-by-Step (2026 Complete Guide)
The medical billing process from scheduling to final payment: 12 steps, the average time at each, what can go wrong with cost impact, and tuning each stage.
Read the Guide arrow_forwardTransitional Care Management Billing (CPT 99495 and 99496)
CPT 99495 and 99496 transitional care management: 14-day window, contact within 2 business days, face-to-face visit timing, and supporting documentation.
Read the Guide arrow_forwardWhat a Medical Billing Audit Should Actually Uncover
What a billing audit should reveal beyond the surface: denial patterns, coding errors, compliance gaps, and the 5-10% missed revenue most practices never see.
Read the Guide arrow_forwardWhat Is RCM in Medical Billing? Complete 2026 Guide to Revenue Cycle Management
Revenue cycle management (RCM) explained: 12 stages from scheduling to write-off, the 6 KPIs that matter, common failure points by stage, and what good looks.
Read the Guide arrow_forwardWhy Mental Health Practices Lose Revenue in Billing
Mental health practices lose 8-12% of revenue to credentialing gaps, authorization errors, and coding mistakes. The patterns and the fixes that recover most of.
Read the Guide arrow_forwardGet a Free Billing Audit
Talk to a billing specialist and get a complimentary review of your current revenue cycle.