Healthcare Revenue Cycle Resources
Practical guidance from certified HIM, coding, and revenue cycle professionals.
January 2025
MAT Coding Compliance: A Provider's Guide to OTP Billing
Expert guidance on HCPCS G-codes, OTP bundled payments, and MAT billing compliance for opioid treatment providers.
Read Article →February 2025
Behavioral Health Revenue Cycle: Overcoming Common Challenges
How behavioral health organizations can reduce denials, improve authorization rates, and protect revenue in a complex payer environment.
Read Article →February 2025
HIM Staff Augmentation: When to Hire vs. Outsource
A practical framework for healthcare organizations deciding between permanent HIM hires and flexible staff augmentation models.
Read Article →March 2025
Denial Management Strategies for Healthcare Revenue Cycle Teams
Proven strategies to reduce claim denials, accelerate appeals, and prevent recurring denial root causes across your revenue cycle.
Read Article →March 2025
Clinical Documentation Improvement: CDI Best Practices for Hospitals
How effective CDI programs improve DRG accuracy, drive physician engagement, and directly impact hospital financial performance.
Read Article →April 2025
Revenue Cycle Optimization for Physician Clinics
Targeted RCM strategies for physician clinics and group practices to improve clean claim rates, reduce AR days, and increase collections.
Read Article →April 2025
ICD-10 Coding Accuracy: How Errors Impact Hospital Revenue
Understanding how coding errors affect DRG assignment, reimbursement accuracy, and compliance exposure — and how audits fix them.
Read Article →May 2025
RAC Audit Readiness: How to Prepare Your Revenue Cycle Team
Proactive steps to protect your hospital from Recovery Audit Contractor findings and reduce financial exposure before auditors arrive.
Read Article →May 2025
Telehealth Billing and Coding Compliance: What Providers Must Know
Navigating telehealth CPT codes, place of service requirements, and payer-specific billing rules for virtual and audio-only care.
Read Article →June 2025
10 Revenue Cycle KPIs Every Healthcare CFO Should Track
The essential revenue cycle metrics — with industry benchmarks — that reveal financial health and operational efficiency across your organization.
Read Article →July 2025
Medical Necessity Documentation: How to Reduce Payer Denials
How to build defensible clinical records that survive payer scrutiny — covering inpatient status, behavioral health criteria, and CDI integration strategies.
Read Article →July 2025
Outsourcing vs. In-House Coding: A Strategic Guide for Health Systems
A practical framework for health systems weighing outsourced vs. internal coding — covering true cost, quality risk, compliance accountability, and the hybrid model.
Read Article →