Category: Revenue Cycle Management

Denial management in 2025

Denial Management in 2025: Proactive Strategies to Reduce Claim Denials

Denials have always been a challenge for healthcare providers, but in 2025 they’ve reached unprecedented levels of financial and operational impact. Studies show that denial rates now average 11.8% of all claims, with some providers reporting initial denial rates as high as 20%. For revenue cycle management (RCM) leaders, this isn’t just a numbers problem—it’s […]
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AR Recovery in Medical Billing

AR Recovery in Medical Billing | Maximize Collections with Allzone

In today’s dynamic healthcare environment, managing accounts receivable (AR) is more than just a financial function—it’s a critical component of sustaining a profitable and compliant medical practice. Delays in reimbursements, claim denials, and inefficient billing processes can drain resources and hinder growth. That’s where AR recovery in medical billing plays a vital role. At Allzone […]
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denial avoidance

Denials Management vs. Denials Avoidance: Key Differences & Best Practices

In today’s healthcare landscape, denied insurance claims can seriously impact a provider’s financial health and operational efficiency. To address this, denial management services and denial avoidance programs have emerged as industry essentials. This post explores the differences between these two strategies, compares their respective best practices, and highlights why working with a leading denial management […]
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Medical billing compliance

How Medical Billing Compliance Can Protect Your Medical Practice

In today’s evolving healthcare environment, medical billing compliance is more than just a legal requirement—it’s a strategic safeguard for your medical practice. As regulations tighten and audits become more frequent, staying compliant with medical billing standards helps protect your practice from costly fines, revenue losses, and reputational damage. What Is Medical Billing Compliance? Medical billing […]
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failing on prior auth reform

Health Insurance Industry Is Failing on Prior Authorization Reform

In theory, prior authorization (PA) exists to ensure that healthcare services are medically necessary and cost-effective. But in practice, it has become a bureaucratic roadblock causing treatment delays, administrative overload, and provider burnout. Despite increasing pressure from physicians, hospitals, patient advocacy groups, and even bipartisan lawmakers, the health insurance industry failing on prior authorization reform […]
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Healthcare Data Breach Notifications

Healthcare Data Breach Notifications for Patients: What You Need to Know

In today’s digital age, patient health information (PHI) is increasingly stored and managed electronically. While this shift improves efficiency and accessibility in healthcare, it also introduces significant data privacy and security challenges. One critical area of concern is healthcare data breach—incidents where patient data is accessed, disclosed, or stolen without authorization. Under the Health Insurance […]
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Denial Prevention vs. Denial Facilitation

Denial Prevention vs. Facilitation: Optimize Healthcare Revenue

In the healthcare revenue cycle, denials are inevitable — but how you manage them makes all the difference. A common discussion in this space centers around Denial Prevention vs. Denial Facilitation, two strategies that, while they may sound similar, have distinct purposes and outcomes. Understanding and effectively applying both can drastically improve your practice’s cash […]
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