Healthcare RCM BIling Trends

Stay ahead with the latest in Healthcare RCM Billing Trends. We deliver up-to-date news, strategies, expert tips, and essential CMS & AMA updates—empowering providers to navigate billing complexities and maximize revenue.

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How to Turn Claim Denials into Revenue with Smarter Healthcare AR Tactics?

Posted by Dorian Wilfred on July 11, 2025

Healthcare Accounts Receivable

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Handle Medicare Pay Cuts with A Physician Billing Service

Posted by Dorian Wilfred on July 10, 2025

Physician Billing

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Why Long-Term Care Facility Billing Is Under the Federal Spotlight

Posted by Dorian Wilfred on July 09, 2025

Long-term care billing

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Latest Update

How Outsourcing Radiology Billing Services Can Make You Profitable?

The radiologists perform imaging tests to diagnose all the injuries and diseases that happened to a patient. It has been observed that radiology billing is a complex procedure as it has several codes and modifiers. The best scans can become reimbursement nightmares for a small mistake. The radiology clinics work in a fast-paced setting of healthcare as they have wide billing guideline. It includes latest healthcare regulations, payer policies, audits and coding systems. However, the imaging centers need expert-led processes which support accurate reimbursement procedures while reducing denials. As the healthcare staff stay busy with administrative hassles, that’s why it can be a feasible option to outsource radiology billing solutions in that matter. Reasons to Outsource Radiology Billing The radiology experts face several problems which significantly affect the clinic’s cash flow. But all the problems can be solved using some steps which are described bel...

Handle Medicare Pay Cuts with A Physician Billing Service

Physicians across the U.S. are dealing with a serious financial problem as payments from Medicare are not keeping pace with the costs of practice. Every year, physicians are expected to do more but get paid less. This isn't just about billing; it also affects patient care, especially for seniors. Medicare payments are supposed to follow the Medicare Economic Index (MEI), which tracks inflation and the cost of healthcare needs like staff pay, supplies, and insurance. The idea was simple: if costs go up, payments should too. But over the last 20 years, that system has changed. Laws like the SGR and MACRA have broken the link between inflation and physician pay. The result was pretty straightforward, the overall Medicare payments have dropped by 33% after adjusting for inflation from 2001 to 2025, meaning what you earn now is far less than what you used to make two decades ago. Also, it costs more now to run a practice. Your overall revenue shrinks, but your costs keep rising when Me...

OIG Watchlist: Radiology Billing Services Are Under Fire

Radiologists spend hours interpreting medical images, collaborating with other healthcare professionals, and guiding patient treatment. Radiology billing has landed squarely in the spotlight, and the attention is anything but flattering. The Office of Inspector General (OIG) has sharpened its focus on radiology billing practices across the U.S. They especially targeted those tied to radiology centers and outpatient departments. However, this scrutiny isn't based on guesswork. It follows mounting evidence of billing irregularities. That includes inconsistent coding to claims that simply don't match documentation. Why Radiology Billing Has Become a Federal Concern Radiology billing and coding are complex. It involves layered services, detailed modifiers, and billing codes that vary by payer. The industry sees a high volume of claims with a wide margin for error. That's exactly why it's come under OIG inv...

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