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Healthcare Articles & Industry Insights

Your trusted source for expert insights on medical billing, coding, revenue cycle management, credentialing and healthcare operations. Stay informed with analysis and guidance built for practice leaders and healthcare administrators, updated regularly to keep you ahead of industry shifts. 

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Physician Credentialing

The Most Important Physician Credentialing Checklist You’ll Ever Need

Key Takeaways The physician credentialing checklist includes education verification, training history, active

rcm process

13 Steps in Revenue Cycle Management (RCM)

Key Takeaways RCM encompasses 13 steps — from appointment scheduling and registration

claim submission process

Streamline Claim Submission: Expert Insights for Effective Medical Billing

Key Takeaways Electronic claim submission through EDI has replaced paper claims as

OCR Issues: Their 46th Enforcement Action Following HIPPA Complaint

OCR Issues: Their 46th Enforcement Action Following HIPPA Complaint

In January 2024, the U.S. Department of Health and Human Services Office

Mastering Denial Management In Medical Billing

Denial Prevention in Medical Billing: Where Automation and Patient Access Actually Stop Denials

Key Takeaways Denial management begins with examining the specific denial reason on

primary source

Primary Source Verification (PSV) in Credentialing: What It Is & Why It Matters

Key Takeaways Credential verification in healthcare must come directly from the issuing

No Surprises Act

How the New No Surprises Act (NSA) Impacts Your Healthcare Organization

Key Takeaways The No Surprises Act took effect January 1, 2022 and

Upcode-2

How Can You Avoid Upcoding and Ensure Billing Precision in Healthcare

Key Takeaways Upcoding — billing services at a higher level than provided

Optimized-female-designer-typing-at-desktop-computer-in-crea-2022-03-07-23-57-01-utc-768x511-1 (1)

Medical Billing Rates and Costs: 2026 Pricing Guide

Key Takeaways Medical billing cost in 2026 ranges from 4% to 10%

denial management

Unveiling the Top 10 Denials in Medical Billing & How to Avoid Them

Key Takeaways The top 10 billing denials include eligibility issues, missing prior

Optimizing Healthcare Revenue: Unraveling the Synergy between Medical Billing and Coding

Optimizing Healthcare Revenue: Unraveling the Synergy between Medical Billing and Coding

Key Takeaways Medical billing submits claims using CPT and ICD codes while

clearing house

Optimize Efficiency: Clearinghouse in Medical Billing Explained

Key Takeaways A clearinghouse pre -screens claims for errors and reformats them

Neolytix Identifies an Average of $341K in Payer Contract Revenue Opportunities — Get Your Assessment Done Today