How one simple workflow change recovered 15% more revenue for a solo provider. A busy practice relying on paper superbills was unintentionally losing 15–20% of billable visits. Faxes got lost, charts piled up, and the front desk had no way to track what actually reached billing. By transitioning to electronic superbills inside the EHR and automating the flow to our billing system, we recovered every missing encounter — increasing captured revenue by 15% without adding a sing

Learn how we recovered $600 in denied medical claims using manual retro authorization and paper-based insurance appeals after electronic submissions were eliminated.

Learn the legal and operational strategy for implementing, enforcing, and capturing no-show fees using Credit Card on File (COF). Protect your practice revenue efficiently.

The LWBS dilemma: A patient checks in, but leaves before the provider sees them. Can you bill? The answer is generally NO for E/M codes. CPT requires a face-to-face encounter. Your staff time and pre-charting are often unrecoverable overhead. The exception? You can bill for completed diagnostic tests or use the JW Modifier for wasted, expensive drugs. Master the LWBS compliance playbook.

In independent medical practices, loyalty is often valued above efficiency. But as payer algorithms become more aggressive, relying on a "do-it-all" in-house biller is no longer just an operational choice—it is a financial liability. Learn why the "Loyalty Penalty" costs practices 10% of their revenue and how to fix it without firing the staff you trust.

If a patient is enrolled in a Medicare Advantage (MA) Plan (Part C), the private insurer, not Original Medicare, is the payer. Billing Medicare will result in a costly CO-24 denial. Always check your eligibility screen for "Bill Option Code: C" and the MA plan's name. Bill the private plan directly to improve cash flow and accuracy.

Accurate coding (ICD-10, CPT), timely claims, and managing denials are critical. Errors cause delayed payments and revenue loss. Implement checklists, leverage secure technology, and consider outsourcing to tackle common pain points like denials and staff burnout.A system that proactively manages revenue ensures financial stability and lets doctors focus on care.

Protecting patient privacy is non-negotiable. For medical and dental practices, HIPAA-compliant billing is essential, yet complex. Small lapses lead to costly denials and underpayments. Learn the vital steps to embed HIPAA into your billing: Train staff, use secure technology, implement clear policies, and audit regularly. This approach reduces claim rejections, speeds up payments, and builds patient trust. Make HIPAA compliance your strategic advantage for financial health.

A patient’s card showed a copay, so the provider collected it—until the EOB revealed no patient responsibility. The visit type didn’t require a copay at all. It’s a common mistake that leads to confusion, refunds, and lost trust. This post explains why copays on cards can mislead and how to verify benefits before collecting.

Stop losing revenue to uncollected copays. Implement a clear, 3-step RCM system for guaranteed copay collection, improved cash flow, and reduced AR days.

Stop lost revenue. Learn the critical 90-day rule for Accounts Receivable. Implement 4 practical, non-salesy steps to cut your Days in AR and stabilize your cash flow.

Denied claims, underpayments, staffing shortages, and tangled prior authorizations all can be addressed by online billing services..