Category: Newsletters

outsourcing vs. in-house coding

To Outsource or Not? The Billion-Dollar Question for Coding Departments

In today’s rapidly evolving healthcare landscape, organizations face increasing pressure to balance efficiency, cost control, and compliance. Medical coding — once considered a purely administrative function — is now a strategic linchpin. Accurate, timely coding directly impacts reimbursement, regulatory compliance, and revenue integrity. This has made the age-old question of outsourcing vs. in-house coding more […]
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RCM 2025: Key Trends & Tech Transforming Healthcare Finance

The financial side of healthcare is always in motion. But as we look to RCM in 2025, the changes aren’t just flowing—they’re accelerating dramatically. Economic realities, heightened patient expectations, and a powerful technological wave are poised to completely redefine Revenue Cycle Management (RCM). This is far more than tweaking spreadsheets or processing claims; it’s about […]
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Medical Coding Denials

Top 10 Medical Coding Denials and How to Avoid Them

Medical coding denials are a significant challenge for healthcare providers, revenue cycle managers, and billing departments. Not only do they disrupt the cash flow of healthcare organizations, but they also result in increased administrative costs and delayed patient care reimbursements. According to industry data, nearly 9% of claims are initially denied, and a substantial portion […]
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RCM KPIs

Top 5 KPIs Every RCM Leader Should Track This Year

In today’s complex healthcare environment, revenue cycle management (RCM) has become more critical than ever. As patient expectations evolve and regulatory requirements grow more stringent, the pressure on RCM leaders to ensure financial sustainability while maintaining high-quality patient care is immense. With tight margins and rising operational costs, understanding and optimizing the right RCM KPIs […]
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policy updates for medical billers

Navigating the 2025 CMS Policy Updates: What Billers Need to Know

As we dive into 2025, healthcare professionals across the country are preparing for another wave of policy updates from the Centers for Medicare & Medicaid Services (CMS). These annual changes are more than just bureaucratic adjustments—they impact every aspect of revenue cycle management (RCM), including billing, coding, documentation, reimbursement, compliance, and are especially critical for […]
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Top trends of RCM

2025’s top trends for Revenue Cycle Management (RCM)

The healthcare industry is in the midst of a transformative shift, and nowhere is this more evident than in the world of Revenue Cycle Management Trends. In 2025, providers, payers, and tech innovators are reevaluating how every dollar is captured, coded, processed, and reimbursed. From artificial intelligence (AI) to evolving patient expectations, today’s RCM ecosystem […]
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The Rise of Outsourcing in Medical Billing: Trends for 2025

The Rise of Outsourcing in Medical Billing: Trends for 2025

The healthcare industry is evolving at a rapid pace, with technological advancements, regulatory changes, and an increasing focus on patient care reshaping the operational landscape. One of the most significant trends emerging in this transformation is the growing reliance on outsourcing in medical billing. As we step into 2025, it is evident that outsourcing is […]
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CPT Code Update

2025 CPT Code Updates: Key Changes You Can’t Miss

As the healthcare industry continues to evolve, staying informed about 2025 CPT Code Updates is essential for providers, billing professionals, payers, and healthcare administrators. Each year, the American Medical Association (AMA) releases an updated CPT code set to reflect advances in medical knowledge, technology, and clinical practice. The 2025 CPT Code Updates are crucial to […]
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RCM Digital Transformation

RCM Digital Transformation: How to Stay Ahead in 2025

Revenue Cycle Management (RCM) has undergone significant RCM Digital Transformation over the past decade, revolutionizing how healthcare providers and organizations manage their financial processes. In 2025, staying ahead in RCM requires more than just automation; it demands a holistic approach that integrates artificial intelligence (AI), machine learning (ML), data analytics, and patient-centric solutions to enhance […]
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