How to Improve Home Health Billing? A Complete RCM Guide
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Home health agencies operate in a high-stakes environment where every billing error, denied claim, or delayed reimbursement can disrupt cash flow and patient care. With evolving regulations, complex payer requirements, and increasing administrative burdens, mastering revenue cycle management (RCM) isn’t just an option—it’s a necessity. Whether you’re struggling with claim denials, inefficient documentation, or compliance […]
The Ultimate Guide to Ophthalmology Revenue Cycle Management
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If you’re an ophthalmologist, you probably didn’t get into this field because you were passionate about medical billing, coding, and insurance claims—but here you are, knee-deep in a maze of CPT codes, denied claims, and ever-changing payer policies. Running a successful ophthalmology practice means navigating a complex revenue cycle while still providing top-notch patient care. […]
Modifier 59 Explained: Avoid Costly Coding Errors
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Medical billing and coding play a crucial role in the healthcare revenue cycle. When performed accurately, they ensure appropriate reimbursement for services rendered. However, incorrect use of modifiers can lead to claim denials, compliance issues, and revenue loss. One of the most misunderstood modifiers is Modifier 59. Modifier 59 is used to indicate that two […]
How KPIs & Analytics Improve RCM Performance
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Running a healthcare practice isn’t just about patient care—it’s also about getting paid (accurately and on time). That’s where KPIs (Key Performance Indicators) and analytics come in. They turn messy billing data into clear, actionable insights that help you boost revenue, cut costs, and speed up payments. But let’s be real—many healthcare organizations don’t track […]
How Dashboard Reporting Optimizes Your Revenue Cycle
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Imagine running a complex machine. Each gear must work seamlessly, each component perfectly aligned. That’s how the revenue cycle in healthcare functions—a delicate balance of billing, coding, claims, and reimbursements. But what happens when one cog in the machine falters? Errors creep in, denials spike, and revenue leaks. Compliance audits are your diagnostic tool, the […]
Best Practices for Cash Posting and Reconciliation in Healthcare
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Let’s face it: healthcare revenue cycle management (RCM) can feel like a high-stakes puzzle. From scheduling appointments to final payment collection, every piece plays a role in keeping your practice financially healthy. And one of the most critical pieces? Cash posting and reconciliation. When done right, they offer clarity and control, showing you where your […]
Outsourcing Medical Billing & Collections: The Complete Guide
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Managing billing and collections in a healthcare practice is no small task. It’s a delicate balancing act—ensuring claims are submitted accurately, payments are collected on time, and compliance with ever-changing regulations is maintained—all while focusing on providing the best possible care for your patients. At Cadence Collaborative, we understand how overwhelming this can feel, and […]
Essential Guide to Coding for Vasectomy Procedures
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Have you ever wondered if you’re getting vasectomy cpt codes just right? Maybe you’ve felt that mix of frustration and uncertainty when trying to navigate complex billing codes or deal with delayed claims. If that sounds familiar, you’re not alone—it’s something many healthcare providers face. But what if coding could feel less like a chore […]
How to Improve Healthcare Collections for Better Cash Flow
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When it comes to healthcare, most conversations center around patient care—but let’s talk about something just as critical: getting paid for that care. If you’re a healthcare provider, you know how frustrating it can be when billing issues or delayed payments get in the way of running your practice smoothly. This is where Revenue Cycle […]
What Is Denial Management? Learn Proven Healthcare Tips
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Imagine this: you’ve delivered exceptional care to your patients, submitted the necessary claims, and are ready to receive payment—only to be met with a denial. It’s frustrating, isn’t it? For many healthcare providers, it’s a reality that disrupts more than just cash flow. Denials create extra work, pull your team away from patient care, and […]