Medical Billing

Comparison of traditional lagging revenue cycle metrics like AR days and denials with leading indicators such as time to first paid claim and provider enrollment aging

How Leading Organizations Prevent Revenue Delays Before a New Provider Starts

Healthcare organizations invest heavily in recruiting providers, yet many lose revenue due to enrollment delays. Discover how leading organizations prevent reimbursement gaps by ensuring provider revenue readiness before a new provider’s first patient encounter.

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Mastering Denied Claims: A Step-by-Step Recovery Guide

Denied claims can be a major roadblock in the revenue cycle processes of any healthcare organization.  In a 2024 report, 38% of survey respondents said at least one in ten claims is denied.  It is not unusual for an organization to see claims denied more than 15% of the time!  Why does this matter?  Well,

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Navigating 2025 Reimbursement Changes: What Providers Need to Know

Navigating 2025 Reimbursement Changes: What Providers Need to Know As most of you are probably aware, Medicare has implemented several changes affecting specialists’ reimbursement, primarily through adjustments to the Medicare Physician Fee Schedule (MPFS). The Centers for Medicare & Medicaid Services (CMS) have released a conversion factor of $32.35 for the calendar year (CY) 2025,

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