Medical Billing and RCM Blogs

Internal Medicine Denial Management has moved off the billing floor and onto the CFO’s dashboard because unresolved denials now sit directly on top of practice EBITDA, not buried in a monthly claims report.

Internal Medicine Denial Management is the structured process of identifying, correcting, appealing, a...

Medical billing onboarding is the structured process of transferring a healthcare organization’s revenue cycle operations to a new billing partner. It covers data migration, payer credentialing checks, coding protocol setup, clearinghouse configuration, and staff training, typically completed in 30 to 45 days before the first claim is submitted.

For CFOs and practice a...

The Revenue Cycle Management trends defining healthcare finance right now come down to one number: $28.83 billion. That is the amount CMS reported in improper Medicare Fee-for-Service payments for fiscal year 2025, and it is the clearest signal yet that the old way of running a billing department will not protect margins going forward.

For CFOs overseeing multi-site gr...

ASC denial management is becoming an EBITDA protection strategy because every preventable denial erodes net realized revenue at the exact margin line that determines valuation multiples, physician distributions, and lender covenant compliance.

Yes, your GI Billing Process should already be under review for CPT 2027. The AMA has approved significant CPT changes taking effect January 1, 2027, including new Category I reporting for endoscopic submucosal dissection in the upper and lower GI tract. The final CPT 2027 code set is still moving through its publication cycle, so gastroenterology practices s...