Practice management
How to switch medical billing companies without losing revenue
Switching billers is a cash-flow event if it is done badly. The sequence below keeps claims moving and the old A/R accounted for through the transition.
Blog
Medical billing, explained by the people who work the denials.
Working notes on denials, coding, clean claim rates and the cost of billing done badly. No vendor-speak; where a number appears, its source is listed at the end of the article.
Metrics
Clean claim rate benchmark: what is a good number, and how to measure it
A clean claim rate is only useful if everyone agrees what counts as clean. Here is how to define it, where the published benchmarks come from, and what moves it.
Coding
The top CPT coding errors and how to fix them at the source
Most coding errors are not exotic. They are the same handful of E/M, modifier and bundling mistakes repeated across thousands of claims.
Practice management
In-house vs outsourced medical billing: the real cost comparison
The salary line is the smallest part of the answer. A full cost comparison has to include software, turnover, and the money that never gets collected.
Revenue cycle
Medical billing vs revenue cycle management: what is the difference?
The two terms get used interchangeably by vendors who want to sound bigger. They describe different scopes of work, and the difference decides what you should buy.
Denials
How to reduce claim denials in your practice
Denials are a process signal, not bad luck. Here is the order of operations that actually lowers the rate, starting with the data you already have.
Beyond reading
Rather have someone look at your actual A/R?
Send an aging summary and a handful of denials. The free review is a written deliverable, not a sales call.