Denials
Talk this through→Cut first-pass denials
Root-cause your top denial reasons with CARC/RARC and fix them upstream, where prevention is cheaper than appeal.
Resources / Guides
Fix the revenue cycle, step by step.
Practical playbooks for the parts of US healthcare billing that leak money — written to be used, not filed away.
Featured guide
The clean-claim checklist.
First-pass clean claims are the single biggest lever in the revenue cycle — every claim reworked adds cost and delays payment. Run this before anything goes out the door.
Run it on your claims- 01Verify active eligibility and benefits (270/271) before the visit.
- 02Confirm the prior authorization on file matches the service performed.
- 03Code to the highest specificity — laterality and the 7th character where required.
- 04Make sure the diagnosis supports medical necessity for the CPT/HCPCS billed.
- 05Apply the correct modifiers for the scenario.
- 06Use the right form and place-of-service code (837P vs 837I; POS).
- 07Confirm provider NPI and taxonomy are correct.
- 08Run payer-specific edits/scrubbing, then submit within the timely-filing window.
The guide library.
One playbook per leak. Pick the stage that's costing you the most.
A/R
Talk this through→Bring down days in A/R
Worklist discipline and a follow-up cadence that keeps aging claims from quietly becoming write-offs.
Access
Talk this through→Eligibility, done right
Move coverage checks to real-time 270/271 at the front desk so nothing bills into a dead policy.
Access
Talk this through→Prior auth without the delays
Secure authorizations before care and make sure what's on file matches what's performed.
Denials
Talk this through→The denial appeals playbook
Read the remark codes, assemble the documentation, and appeal before the deadline closes the window.
Coding
Talk this through→Coding for specificity
Laterality, the 7th-character extension, and diagnosis-to-procedure medical necessity — the specificity payers reward.
Posting
Talk this through→Payment posting & underpayment recovery
Reconcile the 835/ERA line by line so partial denials and underpayments don't slip past.
Strategy
Talk this through→Choosing an RCM partner
The questions to ask, the red flags to watch for, and how to keep visibility instead of buying a black box.
Keep reading
Guides are the map. We'll walk it with you, on your claims.