Revenue Cycle Management

Man in blue shirt looking at rvu analysis graphs on side-by-side computer screens

RVU Analysis

Key Takeaways for RVU Analysis RVUs, or Relative Value Units, are non-monetary units used to quantify the relative value of medical services. RVUs are part of the Resource-Based Relative Value Scale (RBRVS). The RBRVS is a reimbursement methodology developed by the Centers for Medicare & Medicaid Services (CMS) to help determine reimbursement rates for medical […]

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Medical billing manager examining a report on the practice's insurance allowed amounts.

Insurance Allowed Amount and Why It Matters to Your Practice

Key Takeaways on the Insurance Allowed Amount A tricky part of medical billing is the insurance allowed amount, because each payer and even payer plans have different allowed amounts. And those amounts rarely match your actual billed amount. Billers can end up tracking allowed amounts for 10 to 20 different reimbursement schedules against billed charges

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Medical practice financial management represented by a person holding a financial graphic and someone with a different graphic pulled up on a notebook computer

Mastering Medical Practice Financial Management — How to Start

Key Takeaways on Medical Practice Financial Management Originally published October 2017. With electronic billing and digital medical records, medical practices have a lot of valuable data at their fingertips The key to mastering medical practice financial management is knowing which date to look at, how to find it, and how to put it to use

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What Is Medicare Split Billing (Split Claim Billing) & How to Do It

Key Takeaways on Split Billing For Medicare patient visits, medical billing staff sometimes need to submit separate claims for professional and technical charges to the Centers for Medicare & Medicaid Services (CMS) for reimbursement, even if the charges apply to a single visit. The same applies to some state Medicaid claims submitted to states. Billers

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Provider talking to colleague about the importance of accurate cost reporting in healthcare

Accurate Cost Reporting in Healthcare and Why It Matters

Key Takeaways for Cost Reporting in Healthcare Medicare and other cost reporting in healthcare is critical for determining reimbursements and protecting the financial stability of rural health clinics (RHCs) and rural hospitals.  Success depends on three essentials. Together, these elements give rural healthcare organizations like yours the foundation to stay financially strong and compliant, even

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