Billing & Collections

Downcoding, underpayments, missed incident-to: eight revenue cycle leaks to catch before they drain you.

The series returns with Lucien Roberts and Bert Wilson on allowables, collection percentages and what a practice actually collects.

Patients are increasingly primary payers. Nine front-end moves to keep balances from sliding into bad debt.

Denial rates are climbing past 10% at many practices. Here are six places to recover revenue without overhauling billing.

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.

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.

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.

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

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.

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

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.

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.

Medical practices face significant revenue loss from denials and appeals, but improved front-end processes and coding accuracy can help.

Medical billing software sits at the center of the modern revenue cycle, but the sticker price rarely reflects what practices actually pay.

Simple, repeatable coding habits can cut down on denials, support compliance and protect your margins in 2026.

Coding success for incident-to billing can be easy with a solid foundation.

With payers tightening reimbursement, software costs rising and staffing still constrained, billing isn’t just back-office — it’s a profitability driver.