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Bariatric Surgery Denial Rates and RCM Benchmarks: KPIs and Best Practices

“In bariatric billing, you’re either running a tight ship or bailing water with both hands.” That’s how one RCM director described the chaos of managing high-volume surgical claims without the right systems in place. And she’s not wrong. Bariatric surgery is a top-growth surgical line, but also one of the riskiest when it comes to […]

The Power of the Payer Contract: Your Key to Underpayment Appeals

Underpayments often go unnoticed but cost providers millions each year. Your payer contract is more than paperwork—it’s a legal tool that can strengthen underpayment appeals, recover lost revenue, and protect your practice’s financial health. This blog breaks down how to use contracts effectively and turn them into a revenue safeguard.

How Outsourcing Transforms the Allergy and Immunology RCM

Running an allergy and immunology clinic is a wild ride. You’re saving patients from sneezes, wheezes, and itches with cutting-edge treatments like biologics and immunotherapy. But then, the Allergy and Immunology Revenue Cycle crashes the party like an uninvited pollen cloud. Denied claims, complex codes, and pesky prior authorizations can suck the life out of […]

Mastering Mental Health Billing: A Guide to CPT Codes and Documentation

Mental health billing is complex, with evolving CPT codes, time-sensitive documentation, and strict payer rules. This guide breaks down essential strategies for accurate coding, telehealth compliance, and denial prevention—helping your practice optimize revenue while staying fully compliant.