Billing & Collections

A nurse-led framework for when independent practices should bill CHI, PIN or CCM for Medicare care coordination work.

Eight practical ways to plug revenue leaks, from eligibility checks and point-of-service collections to working denials by root cause.

A new AMA survey scores the country's largest commercial insurers on the prior authorization burden they impose on physician practices.

As high-deductible plans shift more costs to patients, practices need stronger front-desk collection workflows before balances become write-offs.

Arrow founder and CEO Roshan Patel explains why health care payment processing is a mess, and what practices can actually do about it.

Two years after a historic health care cyberattack exposed dangerous single-point failures in claims routing, the industry has largely rebuilt the same vulnerable structure.

Kem Tolliver breaks down how to build a strategic revenue cycle work plan, control payer friction and stop hidden leaks draining cash flow.

From clean claim rates to contract negotiations, these warning signs could mean your practice is leaving thousands in revenue uncollected.

From missed submission windows to overlooked bonuses, here is what MIPS participants need to review now to protect their Medicare payments.

Lucien Roberts and Bert Wilson break down how Medicare's fee schedule works and what it means for practice charges on The Back Office.

Practice administration expert Lucien Roberts breaks down Medicare, fees and the business of medicine in a new series, "The Back Office."

Tell us about your practice's finances: Physicians Practice wants to know how your practice is holding up. Take our quick survey.

Doral Jacobsen explains why price transparency data is more limited than you think and how to flip the script in payer negotiations.

Revenue cycle consultant Kem Tolliver says practices that bring frustration instead of data to payer disputes will keep losing ground.

Small practices may be missing thousands of dollars in Medicare revenue monthly. Here are 6 billing opportunities that don't require new patients or more hours.

Doral Jacobsen of Prosper Beyond VBC explains why so many practices feel defeated before payer negotiations even start and what to do about it.

Independent practices can win payer negotiations, but preparation is everything. Doral Jacobsen of Prosper Beyond VBC explains how.

Revenue cycle and business strategy shouldn't operate in silos. Kem Tolliver explains how to align the two, quarter by quarter.

Melinda Mastel of the Medical College of Wisconsin says one simple question can reveal the operational issues hiding behind a missed budget.

Denials are up, margins are down and patients owe more than ever. This is what physician practices need to know to protect their revenue cycle in 2026.

Skip the coding cert. Lead your revenue cycle team with one shared metric, less shadow work and a culture that fixes problems before they pile up.

Nine proven ways to collect patient balances sooner, cut billing touches and boost cash flow as high-deductible plans rise.

Shannon Sims, M.D., Ph.D., and Matthew Bates, M.P.H., break down what Vizient's 2026 industry report means for access, teams and finances.

Cut claim denials and speed cash flow with smarter intake, clean claims, EFT/ERA automation and patient-friendly billing metrics.

Health care payments still feel fragmented; cross-team alignment unifies billing channels, tokenized methods and workflows to boost completion rates and reduce patient frustration.