Resources

How medical practices lose thousands due to generic RCM firms. 1. The Problem with “One-Size-Fits-All” Billing Most billing companies promise they can handle “any specialty.” But every specialty has its own rules, modifiers, and payer quirks and treating them all the same is how revenue leaks start. When coders and billers lack deep specialty understanding, small errors multiply: modifiers get missed, global periods are misapplied, and bundled services go under reimbursed. Th

A quick guide to evaluating A/R, denials, and collection efficiency. 1. Collections Percentage Your collections percentage  shows how much of your billed charges you actually collect after contractual adjustments. If your practice is consistently collecting less than 90–95% of expected reimbursement, there may be inefficiencies in coding accuracy, claim follow-up, or payer management. Monitoring a few key metrics each month helps ensure your revenue cycle stays healthy and pr

Simple indicators that your billing partner may be costing you more than you realize. 1. Collections Aren’t Matching Your Patient Volume If your monthly patient encounters have stayed consistent or even increased but your deposits haven’t, it’s a red flag. A quality billing company should identify trends, not excuse them. Slow payments, reduced reimbursements, or a sudden rise in patient balances often point to deeper issues like incorrect coding or poor claim follow-up. Tip: