Tag: RCM Services

RCM Challenges

Top Revenue Cycle Management Challenges Hospitals Face in 2026

Introduction As healthcare continues to evolve, hospitals in 2026 are facing unprecedented financial and operational pressures. From rising administrative costs and workforce shortages to stricter payer policies and increasing patient financial responsibility, hospitals must navigate a complex and constantly shifting landscape. At the center of these issues lies the revenue cycle—a critical function that directly […]
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RARCs

A Complete Guide to Remittance Advice Remark Codes (RARCs) in Medical Billing

Medical billing is complex since there are a number of codes, rules, and messages that healthcare providers and payers have to follow.   This technique is very crucial to use Remittance Advice Remark Codes (RARCs).   Healthcare workers need to know how to utilize RARCs to bill appropriately, be paid on schedule, and keep track of their […]
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CPT ICD Compliance Checklist

Comprehensive CPT/ICD Compliance Checklist for Healthcare Providers

In today’s highly regulated healthcare environment, CPT and ICD code compliance isn’t just about accuracy—it’s about protecting your revenue, safeguarding against penalties, and ensuring smooth reimbursements. Healthcare providers and billing teams face increasing pressure to align with payer rules, CMS guidelines, and continuous code updates. A single coding error can result in denied claims, delayed […]
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ICD-10 code for stroke

Detailed List of ICD-10 Codes for Stroke and Medical Coding Guide

A stroke, or cerebrovascular accident (CVA), occurs when the brain’s blood supply is interrupted or reduced, depriving brain tissue of oxygen and nutrients. Accurate medical coding for stroke is essential to ensure proper documentation, reimbursement, and statistical tracking of healthcare outcomes. In the healthcare revenue cycle, accurate ICD-10 coding not only impacts claim success but […]
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Electronic Claims Management

Electronic Claims Management: Overcoming ERA and PA Challenges

The U.S. healthcare industry continues its digital transformation, with providers and payers embracing electronic transactions to streamline revenue cycle management (RCM) processes. According to the CAQH Index, adoption of electronic claims management transactions—such as eligibility verification, claim submissions, and claim status inquiries—has reached or surpassed 80% for many transaction types. However, significant gaps remain in […]
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22% of Revenue Cycle Leaders Outsource Outpatient RCM

Why You Should Outsource Outpatient RCM Services

Outpatient care has become a cornerstone of modern healthcare, thanks to technological advancements, patient preferences, and cost-effective treatment models. As outpatient services expand, so do the administrative and financial complexities behind the scenes. Revenue Cycle Management (RCM) for outpatient care is no small feat — it involves managing patient scheduling, insurance verification, coding, billing, and […]
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ASC patient experience

Boosting ASC Patient Experience through Efficient Front Desk Procedures

In today’s competitive healthcare environment, delivering an exceptional ASC patient experience is crucial for differentiating your ambulatory surgery center (ASC) and fostering sustainable growth. This experience hinges on treating patients with care, respect, and competence throughout every interaction – from staff engagement to procedural efficiency and technological integration. This article focuses specifically on enhancing the […]
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Outsourcing medical billing for faster payments

Outsourcing Medical Billing: The Key to Faster Payments in 2025

In today’s evolving healthcare landscape, financial stability is a growing concern for healthcare providers. With rising administrative costs, increasing payer scrutiny, and complex reimbursement policies, managing medical billing in-house is becoming increasingly challenging. As we approach 2025, the demand for faster, more efficient payments is greater than ever, driving many healthcare providers to explore outsourcing […]
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