Expert analysis, actionable guides, and data-driven insights from Revenue Synergy's RCM team. Stay ahead of billing changes, coding updates, and industry trends.
Good faith estimates, balance billing protections, the IDR process, and patient disclosures, what every practice needs in place to stay compliant and protect revenue in 2026.
Underpayments quietly drain 1-3% of net revenue at most practices. Learn how to detect contract variances, build a recovery workflow, and recover what payers actually owe you.
Patients are now one of your largest payers, and the hardest to collect from. Practical tactics for upfront estimates, point-of-service collection, and digital payment tools.
Machine learning models are catching denied claims before they happen, reducing write-offs, accelerating payments, and transforming revenue cycle efficiency.
Authorization rules, parity law compliance, telehealth coding, and session-based billing, everything behavioral health practices need to know this year.
Updated benchmarks for AR days, denial rates, clean claim rates, and collection percentages, broken down by specialty and practice size.
Actionable tactics that high-performing practices use to accelerate collections and eliminate cash flow bottlenecks in their revenue cycle.
A breakdown of the most impactful CPT, ICD-10, and HCPCS changes for 2026, with guidance on how to update your billing workflows.
We analyzed 48,000 prior auth requests across 120 practices. Here is what we found about time savings, approval rates, and revenue impact.
Everything you need to know about outsourcing medical billing, from cost models and ROI to vendor evaluation, transition planning, and compliance requirements.
15 actionable strategies to reduce claim denials across eligibility, coding, authorization, documentation, and payer follow-up, with measurable benchmarks.
A decision framework for evaluating RCM companies, covering technology, specialization, pricing models, compliance, and the questions you should ask before signing.
What does medical billing outsourcing actually cost? A transparent breakdown of percentage-based, per-claim, and flat-fee pricing models with real-world examples.
A side-by-side cost and performance comparison of in-house billing teams versus outsourced RCM, including hidden costs most practices overlook.
Everything you need to know about RCM, the 12 steps of the revenue cycle, key metrics to track, and why revenue cycle management matters for healthcare financial performance.
Cardiology billing guide covering catheterization coding, echo and stress test codes, E/M documentation pitfalls, and strategies to maximize reimbursement.
Global surgery periods, fracture care coding, arthroscopy billing, modifier usage, and strategies to maximize orthopedic reimbursement.
Step-by-step guide to appealing prior authorization denials, the appeal process, timelines, documentation requirements, and strategies that achieve 70%+ overturn rates.
The essential KPIs every practice should track, clean claim rate, days in AR, denial rate, net collection rate, and cost to collect, with benchmarks by specialty.
A complete denial management workflow, from identification and categorization through root cause analysis, appeals, and prevention strategies.
Complete telehealth billing guide covering place-of-service codes, modifier 95 vs GT, audio-only billing, and payer-specific telehealth policies for 2026.
HIPAA compliance requirements for medical billing, from transaction standards and PHI safeguards to BAAs, breach notification, and audit preparation.
Guide to choosing a medical billing company in Texas, state-specific Medicaid rules, TMHP enrollment, and what Texas practices should expect from an RCM partner.
Ambulatory surgery center billing, implant pass-through coding, case costing, bundled payment optimization, and payer contract strategies for ASCs.
A realistic credentialing timeline, from application to effective date, covering Medicare, Medicaid, and commercial payer enrollment processes.
The most common behavioral health denial reasons, authorization lapses, medical necessity, parity violations, and proven strategies to prevent and overturn them.
Improving medical coding accuracy, common error patterns, audit strategies, coder training best practices, and the revenue impact of coding precision.
Oncology billing essentials, chemotherapy administration coding, buy-and-bill drug management, J-code optimization, and radiation therapy billing.
Pain management billing guide, epidural and facet injection coding, nerve block billing, radiofrequency ablation, and multi-level modifier mastery.
Chiropractic billing playbook: CMT codes 98940-98943, AT modifier, Medicare maintenance care exclusion, X-ray rules, and personal injury (PIP) claims.
2026 CMS coding updates explained: new CPT codes, ICD-10-CM changes, HCPCS revisions, NCCI edit updates, and RVU shifts by specialty.
Master home health PDGM billing: OASIS accuracy, Notice of Admission deadlines, HIPPS code calculation, LUPA thresholds, and face-to-face compliance.
Master Medicare Advantage billing in 2026: prior auth rules, HCC risk adjustment, star ratings, MA plan differences (Humana, UHC, Aetna), and denial trends.
OB/GYN billing guide covering the global obstetric package (59400, 59510, 59610), antepartum care, postpartum, gyn surgery, and modifier 22/25/59 use.
Physical therapy billing guide: 8-minute rule, timed CPT codes, GP/KX modifiers, Medicare therapy threshold, MPPR, plan of care, and workers comp.
Complete podiatry billing guide: Q7/Q8/Q9 modifiers, nail debridement (11720/11721), ulcer debridement, diabetic shoe billing, and Medicare LCD compliance.
SNF PDPM billing guide: MDS 3.0 accuracy, 3-day qualifying hospital stay, consolidated billing, Part A to Part B transition, and HIPPS code generation.
Specialty-level benchmarks for AR days, clean claim rate, denial rate, and net collections, plus the improvement playbooks to close the gap. Instant download.
Answer 8 questions about your billing operation and get an instant letter grade with the three highest-impact fixes for your practice.