Written for practice owners and administrators rather than billers. No gated downloads, no email required, and several of these will tell you that you do not need us.
Checks you can run yourself, on an outsourced company or your own team.
Nine checks, each with the report to pull and what the answer means. It applies the same way to a billing company or to…
Money is arriving, so it looks like it is working. The real question is how much more should be arriving — and five questions…
Billing problems announce themselves long before the collections report does. These are the signals, and what each tends to mean.
No. But it is common — and the difference between working a denial and resubmitting it is invisible from the outside until you know…
Working out where the money is going before deciding what to change.
Revenue is down and nothing obvious has changed. There are six usual causes, and they are distinguishable in about an hour with reports you…
This specific combination — volume up, revenue down — narrows the possibilities considerably. It is one of the clearest signals in practice finance.
Before concluding that billing is failing, it is worth checking whether billing is absorbing a problem that starts somewhere else. The answer changes what…
The cost comparison, the staffing cases, and when keeping it in-house is the better answer.
Most comparisons weigh a percentage against a salary. That is the wrong comparison, and it is why so many practices get this decision wrong…
Salary is about two-thirds of the answer. Here is the rest of it, and how the full figure compares to a percentage of collections.
Your biller is at capacity and something has to change. Here is how to work out which direction is right, with your own numbers…
The clock on this is days, not weeks. Here is what to secure immediately, what can wait a fortnight, and how to avoid making…
The seat has been open for months, the applicants are not right, and the work is piling up. This is a common position and…
How to move without losing the money already in flight.
The decision is usually the easy part. What stops practices is what happens to the money already in flight — and that fear is…
Deposits lag claims by weeks. That delay makes a billing transition feel safe right up until it suddenly is not — and it is…
Everything that needs to be secured, handed over or agreed when you change billing companies — in the order it needs doing. Take it…
Reducing a backlog, reading the report, and finding money that was never denied.
Most advice on this states a benchmark and stops. The useful question is what to do about the pile you already have, and in…
Timely filing is the one deadline in billing that is genuinely final. Past it, a perfectly valid claim is worth nothing, and no appeal…
It is the most useful document in your practice and the least often read. Here is what each part means and which patterns indicate…
It is the metric everyone quotes and the one most easily misread. Here is what it actually measures, and the number that tells you…
A payer paying less than it agreed looks exactly like a payer paying correctly. This is the quietest leak in the revenue cycle and…
Preventing them, diagnosing them, and what a billing company should be doing about them.
The honest answer is that the rate matters less than what happens next. A practice with a high rate and real denial management loses…
Working a denial recovers one claim. Finding why it happened stops the next hundred. This is the part of denial management that compounds, and…
Most denial advice is about appealing better. This is about the claims never being denied, which is cheaper and considerably less work.
These are treated as the same thing constantly, and they are not. One is a claim the payer never received. The other is a…
Realistic timelines, what the terms actually mean, and what to do when a panel is closed.
Published answers to this range from six weeks to six months, which is unhelpful when you are trying to pick a start date. Here…
These are used interchangeably and they are not the same thing. The difference decides whether you can bill, and which one is stuck changes…
Usually not, and the exceptions depend entirely on the payer. This is one of the most expensive misunderstandings in practice finance, because by the…
A closed panel is not a delay, it is a refusal — and it is handled completely differently. It is also not always final.
The coverage and coding rules that decide whether these claims pay, checked against the primary sources.
Routine foot care is excluded from Medicare by statute. It becomes payable only when a qualifying systemic condition and a specific combination of clinical…
Implant billing is where ASC revenue is most often quietly lost. Bill a packaged device separately and the line denies. Fail to report the…
Urgent care is the one setting where the same visit, documented identically, must be coded three different ways depending on who is paying. Getting…
Three codes, three time bands, and a scheduling convention that puts a great many practices on the wrong side of the line without anybody…
The date of service on a laboratory claim looks like an administrative field. It is not — it determines whether the test is bundled…
Send us your A/R aging report and three months of denials. We will tell you what we see — what is recoverable, what is at risk of timing out, and whether the problem is billing at all. No charge, and if your billing is working we will say so.
Request a free A/R review