Revenue Cycle Management
How to Fill Your Gap in Medical Coding Expertise, and Thrive
A Day in the Life of a Medical Coder While each medical coder may approach their day differently, they must all have one characteristic in common to be successful – scrupulous attention to detail and accuracy. Like most professionals who work at desk jobs, a medical coder’s typical day includes email and checking for any…
Read MoreTop Revenue Cycle Management Trends Behavioral Health Practices Should Watch in 2025
As we move into 2025, behavioral health practices face mounting challenges in revenue cycle management (RCM). The continued rise of high-deductible health plans (HDHPs) has shifted a significant portion of healthcare costs onto patients, creating new hurdles for practices to overcome. In this rapidly changing landscape, staying ahead of RCM trends is crucial for maintaining…
Read MoreUrgent Care Revenue Cycle 101
The urgent care industry has grown significantly over the past decade, providing an essential alternative to emergency rooms for non-life-threatening conditions. With a market value of $56.7 billion in 2022, it is projected to grow at a rate of 10.99% from 2023 to 2030.1 However, with this growth comes the challenge of managing a complex…
Read More6 Crucial Steps to Sustaining Revenue Cycle Growth in 2025
As the year comes to a close, you’re likely taking stock of where to focus your revenue cycle efforts to collect more revenue and sustain growth once we turn the page on 2024. Regardless of whether you operate a small practice or a large provider health system, you have an ongoing goal to bill more…
Read MoreMeasuring RCM Success: 3 Proven Strategies for Evaluating the Effectiveness of Your Current Revenue Cycle Processes
In today’s competitive healthcare environment, understanding the effectiveness of your practice’s revenue cycle process is crucial for maintaining financial health and operational efficiency. Whether managing small practices or large healthcare systems, a well-optimized revenue cycle can significantly impact your organization’s bottom line, ensuring you collect more revenue faster and sustain growth.1 Yet many practices face…
Read MoreHow Business Intelligence Transforms Healthcare Practice Revenue
Informed decision-making is a key component of revenue cycle success in any healthcare organization, from laboratories and urgent care centers to behavioral health and orthopedic practices. However, making the smartest business decisions requires full disclosure to all of your practice data. The challenge for many practices is accessing the most up-to-date information about financial performance,…
Read MoreHow to Maximize Billables From Telehealth Visits
Telehealth visits have exploded in popularity since the COVID-19 pandemic, with post-pandemic utilization holding steady at a higher rate than pre-pandemic levels.1 What began as a stop-gap measure to continue providing care during nationwide lockdowns has quickly become a mainstay in the U.S. healthcare system. However, practices offering telehealth now face a new challenge: driving…
Read MoreMitigating the Revenue Cycle Impacts of the Change Healthcare Cyberattack
The explosion of healthcare technology utilization over recent years has inevitably led to the rise of rampant cyberattacks. From 2018 to 2022, the number of healthcare data breaches skyrocketed by 93%.1 However, the worst was yet to come. In early 2024, the industry suffered a data breach on an unprecedented scale, generating a disastrous chain…
Read MoreCommon Obstacles in Orthopedic Billing That Undermine Revenue Generation
Orthopedic practice revenue relies on accurate and timely revenue cycle management (RCM). However, correctly coding and billing for orthopedic services rendered can be complex, even for the most experienced billing teams. From deciphering complex coding rules to keeping pace with new regulatory and billing requirements, orthopedic billing teams face countless barriers to revenue at each…
Read MoreNavigating the Complexities of Behavioral Health Billing: Best Practices for Revenue Capture and Reimbursement
The line between medical billing and behavioral health billing is often blurry, with billable charges for each episode of care varying widely based on the services rendered, service provider, payer, and treatment plan. Without a proactive approach to behavioral health practice revenue cycle management (RCM), practices take on significant revenue leakage that can quickly snowball…
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