Free Revenue Audit
Uncover Hidden Revenue Opportunities
Get a complimentary analysis of your current billing performance and discover areas for improvement worth thousands in additional revenue.
Audit Includes:
- Claims submission accuracy rate analysis
- Average days in accounts receivable assessment
- Denial rate analysis by payer
- Clean claim percentage evaluation
- Write-off trends review
- Staff productivity metrics assessment
Process: Submit request form, upload sample claims data (optional), receive detailed report within 48 hours, schedule strategy session (if desired)
Compliance Guides
Navigate Healthcare Regulations with Confidence
Stay up-to-date with the latest healthcare regulations and billing requirements with our comprehensive compliance resources.
HIPAA Privacy & Security Rules
- Covered Entities vs Business Associates: Definition clarification with real-world examples, liability differences and responsibilities
- Breach Notification Requirements: 60-day notification timeline explanations, media notification thresholds
- Employee Training Documentation Templates: Interactive training module completion certificates, annual refresher course attendance records
CMS & Medicare Guidelines
- Annual Physical Exam Billing: G0438, G0439 code usage scenarios, documentation requirements checklist
- Telehealth Modifier Usage: GT, 95, and POS 02 modifier distinctions, cross-state telehealth licensing impacts
- Quality Payment Program Participation: MIPS vs APM participation pathways, performance category weighting changes
RCM Blog
Stay Informed: Revenue Cycle Management Insights
Understanding MACRA & MIPS: What It Means for Your Practice
Detailed breakdown of MIPS categories (quality, improvement activities, promoting interoperability, cost), scoring methodology explanation, performance threshold requirements.
Read ArticleThe Future of Telehealth Billing Post-Pandemic
Permanent CMS flexibilities analysis, state-specific telehealth regulations, cross-state licensing considerations, documentation requirements evolution.
Read ArticleHow Blockchain Could Revolutionize Medical Claims Processing
Smart contract applications in healthcare, interoperability enhancement possibilities, fraud prevention mechanisms, patient data ownership implications.
Read ArticleWebinars & Events
Learn from Industry Experts Live
Mastering Prior Authorization Workflows
Date: March 15, 2025
Duration: 90 minutes including Q&A
Speaker: Dr. Jennifer Rodriguez, MBA, former hospital CMIO
Topics: Automation tools, payer communication strategies, success metrics
Register NowAI in Medical Billing: Separating Hype from Reality
Date: April 2, 2025
Duration: 60 minutes including Q&A
Speaker: Michael Chen, MS, WellMedX CTO
Topics: Current AI applications, implementation challenges, ROI expectations
Register Now2025 Coding Changes You Can't Afford to Miss
Date: April 23, 2025
Duration: 120 minutes including Q&A
Speaker: Sarah Johnson, CPC, AAPC Fellow
Topics: New CPT codes, deleted procedures, guideline updates
Register NowBilling Resources
Essential Tools for Efficient Medical Billing
Coding References
- ICD-10-CM Quick Lookup Tool: Search by symptom, diagnosis, or condition with cross-reference to CPT codes
- CPT Code Descriptions Database: Comprehensive code library with descriptors and modifier compatibility checker
- HCPCS Level II Crosswalk Charts: Medicare-specific supply and service codes with durable medical equipment coding guide
- Modifier Usage Decision Tree: Interactive flowchart for modifier selection with payer-specific requirements
Financial Calculators
- Days in AR Calculator: Real-time aging bucket analysis with industry benchmark comparison
- Collection Rate Benchmark Tool: Specialty-specific collection rate norms with geographic region comparisons
- Revenue Leakage Assessment: Denial cost quantification calculator with undercoding revenue opportunity analysis
- Staff Cost vs Revenue Ratio Analyzer: Full-time equivalent productivity metrics with technology investment ROI calculation