Key Takeaways on How to Increase Health Clinic Revenue Rural healthcare facilities work with tight budgets. And they have a unique opportunity to understand how to increase health clinic revenues by adding new services. The One Big Beautiful Bill Act (OBBBA) passed in July 2025 makes it especially timely to explore new ways to increase […]
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Key Takeaways on a Revenue Cycle Dashboard Healthcare revenue cycle management (RCM) is no small task. Constantly changing requirements, regulations, and complex processes make it laborious and error prone. But you have to make revenue cycle management second only to patient care to survive. In this article, we share why a healthcare revenue cycle dashboard
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Key Takeaways on CMS Final Rule 2026 The Centers for Medicare & Medicaid Services (CMS) announced its CMS final rule 2026 policy changes for the Medicare Physician Fee Schedule (PFS) on October 31, 2025.1 Actual changes go into effect on or after January 1, 2026. Other recent regulatory changes are also finalized. Changes that will
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Key Takeaways: What Are RVUs in Healthcare RVUs stands for Relative Value Units. RVUs in healthcare are non-monetary units used to quantify the value of medical services. RVUs reflect the relative amount of work, practice expense, and malpractice risk used to deliver different procedures or services. Each service or procedure provided is assigned an RVU
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Key Takeaways to Maximize RHC Reimbursements In 2023, hospitals absorbed $130 billion in Medicare and Medicaid underpayments — a roughly 14% annual increase over 2019.1 And underpayments are one reason providers can benefit from knowing how to maximize reimbursements for rural health clinics (RHCs). Why? Because a higher portion of RHC payments come from public sources compared
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Key Takeaways for the G2211 Procedure Code Last updated December 9, 2025 Procedure code G2211 is a Medicare-specific billing code used as an add-on to codes for standard office, home, or telehealth outpatient and management (E/M) visits. It recognizes the complexity providers face in managing complex conditions and ongoing care needs. In this article, I
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Last updated November 2025 Providers forced to jump through hoops to get prior authorizations for patients know the pain of waiting. But, according to AHIP, prior authorizations ensure a patient gets safe, timely, evidence-based care that’s both affordable and efficient. To help providers ensure patients get that, try the tips in this prior authorization cheat
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Key Takeaways for Fee-for-Service vs Value-Based Care The Centers for Medicare & Medicaid Services (CMS) aims to move Medicare users from a Medicare fee-for-service model and most Medicaid users to a value-based care model by 2030. The goal reflects a broader shift in the healthcare industry, as providers, payers, and policymakers move away from traditional
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Key Takeaways on AI vs Traditional Billing Healthcare billing has long been a complex and often frustrating task for hospitals and clinics. Traditional billing processes rely on manual effort, which can lead to inefficiencies, errors, and high administrative costs. But times are changing. Artificial intelligence (AI) is revolutionizing revenue cycle management (RCM), offering healthcare organizations
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Key Takeaways to Prevent Revenue Leaks in RCM In the healthcare landscape — especially for rural and independent ambulatory clinics — every dollar matters. And your financial performance depends on those dollars. But many practices unknowingly lose thousands of dollars due to preventable gaps in their medical billing RCM (revenue cycle management) process. If your
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