-
Expanded Federal Exclusion Authority: What SNFs Need to Know
CMS announced the deferral of more than $1 billion in federal Medicaid payments to California and Minnesota while the states provide additional documentation supporting certain high-risk claims. Read more…
-
Beyond Billing: How Revenue Cycle Has Become a Strategic Advantage Under CMS’ New Risk-Based Survey Process
CMS’s recently announced Risk-Based Survey (RBS) process signals a significant shift in how facilities should think about revenue cycle. Read more…
-
Pre-Payment Reviews Are Changing the Reimbursement Landscape
Staff who would normally focus on collections, patient care, or operational improvement are redirected to medical record requests, payer correspondence, documentation support, and appeals. Read more…
-
Denials Are Rising, but That Is Not the Root Cause of Revenue Leakage
Denials are up – in many specialties approaching 15%-20% – and for many organizations it feels like a constant effort just to keep pace. Read more…
-
11 Revenue Cycle Capabilities Every Physician Group Should Expect from an RCM Partner
Today’s physician groups need comprehensive RCM support that improves collections, reduces denials, accelerates cash flow, and gives leadership clear visibility into financial performance. Read more…
-
What is a Pre-Payment Review and How Does It Impact Behavioral Health Providers?
Pre-payment reviews are no longer an exception in behavioral health reimbursement. They are becoming part of the standard operating environment. Read more…
-
How to Build a Denial-Resistant Revenue Cycle
The following framework highlights how leading healthcare organizations leverage end-to-end revenue cycle strategies to strengthen reimbursement outcomes and minimize avoidable denials. Read more…
-
8 Questions to Vet Denial-Focused Billing Services
The following questions can help determine whether a medical billing company’s denial management strategy is reactive or truly strategic. Read more…
-
How to Evaluate Outsourced RCM Services in 2026
The right partner can improve collections, reduce denials, accelerate cash flow, and provide leadership with greater visibility into revenue cycle performance. Read more…
-
Why Physician Practices Struggle With Medical Billing
The reality is that many revenue cycle problems begin long before a claim is ever submitted. Read more…
