Resources / Insights

What we learn
working the claims.

Denial codes, AR that ages past 90, eligibility caught at the front desk, credentialing that stalls cash flow. Written for billers and practice managers, not for search engines.

RCM · 5 min read

Your billing team spends half its day inside a browser. That part is automatable now.

Payer portals eat half a billing team's day. Browser automation can now find its own way around them. What changed, what to run, and where a person still belongs.

Read →

RCM · 7 min read

Claim Scrubbing Rules Worth Writing Yourself (Beyond What Your Clearinghouse Does)

{ "title": "Claim Scrubbing Rules Worth Writing Beyond Clearinghouses", "metaDescription": "Stop payer denials before submission. Here are the custom claim

Read →Aug 20, 2026

RCM · 18 min read

New Provider Revenue Gap

Learn how to minimize the new provider revenue gap with efficient billing and credentialing processes for your practice

Read →Aug 17, 2026

RCM · 18 min read

Global Period Billing

Avoid global period billing errors in surgical practices with correct coding and billing procedures, ensuring accurate reimbursement

Read →Aug 16, 2026

RCM · 6 min read

Patient Billing Within 5 Days: The Post-ERA Window

Holding patient statements for monthly batches kills collections. Here is why the 5-day post-ERA billing rule cuts patient AR and eliminates bad debt.

Read →Aug 15, 2026

RCM · 18 min read

Firing a Payer

Dropping a contract with a problematic payer can be a relief, but how do you know when it's time to fire a payer and what are the steps to take

Read →Aug 14, 2026

RCM · 18 min read

Underpayments vs Denials

Understand the difference between underpayments and denials, and how to address them to maximize revenue

Read →Aug 13, 2026

RCM · 18 min read

RCM Pricing Models Compared

Determine the right percent of collections to pay for revenue cycle management services, comparing pricing models for optimal results

Read →Aug 12, 2026

RCM · 18 min read

Prior Auth Peer Reviews

Prepare physicians for prior auth peer-to-peer reviews in 15 minutes with these steps and codes

Read →Aug 11, 2026

RCM · 18 min read

Locum Tenens Billing Guide

Learn about locum tenens billing, the Q6 modifier, and when to bill under another NPI with our expert guide

Read →Aug 10, 2026

RCM · 5 min read

Medicaid Redetermination: Catch Mid-Care Coverage Loss

Stop revenue leaks from Medicaid redetermination mid-care coverage loss. Learn concrete workflows, 270/271 batch checks, and CARC CO-27 recovery steps.

Read →Aug 8, 2026

RCM · 6 min read

How to Work a Denial Queue: Order, Batching, and What to Touch First

{ "title": "How to Work a Denial Queue: Priority Rules and Batching", "metaDescription": "Learn how to work a denial queue by prioritizing high-dollar claim

Read →Aug 6, 2026

RCM · 18 min read

Payer Mix Risks

Learn how to analyze your payer mix to avoid revenue risks and optimize your practice's financial performance with a balanced payer mix

Read →Aug 4, 2026

RCM · 18 min read

CAQH Attestation Lapses: Credentialing Issues

CAQH attestation lapses can cause credentialing issues, leading to denied claims and revenue loss, understand how to prevent them

Read →Aug 3, 2026

RCM · 18 min read

Eligibility Denials: 5 Front-Desk Questions

Prevent 80% of eligibility denials with these 5 front-desk questions, reducing AR days and increasing clean claim rates

Read →Aug 2, 2026

Denials · 6 min read

Secondary Insurance: Coordination of Benefits

Mastering secondary insurance coordination to avoid claim denials and ensure accurate reimbursement, with insights from CMS and NCQA

Read →Aug 2, 2026

RCM · 18 min read

Secondary Claim Billing

Get paid for crossover claims with proper secondary claim billing techniques and avoid leaving money uncollected

Read →Aug 1, 2026

RCM · 18 min read

Payer Audits: Triggers and Responses

Learn what triggers payer audits and how to respond effectively to minimize financial losses and ensure compliance with regulations

Read →Jul 31, 2026

RCM · 5 min read

First Pass Resolution: What a 1% Increase Is Worth

Calculate the actual cash value of a 1% increase in your first pass resolution rate. Learn how reducing claim rework improves RCM ROI and cash flow.

Read →Jul 30, 2026

RCM · 5 min read

How to Benchmark Your Practice Revenue Cycle Against Industry Standards

{ "title": "How to Use RCM Benchmarks for Practice Benchmarking", "metaDescription": "Learn how to evaluate your practice benchmarking strategy using core R

Read →Jul 29, 2026

RCM · 1 min read

ERA vs EOB — What Every Biller Should Understand

{ "title": "ERA Electronic Remittance vs EOB Explanation Guide", "metaDescription": "Learn the functional differences between an ERA electronic remittance 8

Read →Jul 28, 2026

RCM · 3 min read

The 90-Day AR Cliff — Why Old Claims Stop Getting Paid

{ "title": "How 90 Day AR Kills Cash Flow and How to Fix It", "metaDescription": "Claims past 90 days in accounts receivable drop in collectible value drast

Read →Jul 27, 2026

RCM · 1 min read

How Modifier 25 and Modifier 59 Get Practices Into Trouble

{ "title": "Why Modifier 25 and Modifier 59 Trigger Payer Audits", "metaDescription": "Appending Modifier 25 and Modifier 59 incorrectly leads to CO-97 bund

Read →Jul 26, 2026

RCM · 4 min read

Coordination of Benefits: Dual Insurance Rules Explained

Understand coordination of benefits when a patient has dual insurance. Master primary rules, avoid CO-22 denials, and submit secondary claims fast.

Read →Jul 25, 2026

Showing 24 of 94

What we learnworking the claims.

Your billing team spends half its day inside a browser. That part is automatable now.

Claim Scrubbing Rules Worth Writing Yourself (Beyond What Your Clearinghouse Does)

New Provider Revenue Gap

Global Period Billing

Patient Billing Within 5 Days: The Post-ERA Window

Firing a Payer

Underpayments vs Denials

RCM Pricing Models Compared

Prior Auth Peer Reviews

Locum Tenens Billing Guide

Medicaid Redetermination: Catch Mid-Care Coverage Loss

How to Work a Denial Queue: Order, Batching, and What to Touch First

Payer Mix Risks

CAQH Attestation Lapses: Credentialing Issues

Eligibility Denials: 5 Front-Desk Questions

Secondary Insurance: Coordination of Benefits

Secondary Claim Billing

Payer Audits: Triggers and Responses

First Pass Resolution: What a 1% Increase Is Worth

How to Benchmark Your Practice Revenue Cycle Against Industry Standards

ERA vs EOB — What Every Biller Should Understand

The 90-Day AR Cliff — Why Old Claims Stop Getting Paid

How Modifier 25 and Modifier 59 Get Practices Into Trouble

Coordination of Benefits: Dual Insurance Rules Explained

What we learn
working the claims.