The RCxRules Blog

Revenue Cycle
August 19, 2021 Keeping Pace: Surgical Specialty Requirements On top of the usual billing and coding challenges faced by all providers, specialty practices across the country have additional requirements to …
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Revenue Cycle
July 15, 2021 A Revenue Cycle Guide for Private Equity Firms in Healthcare Private equity firms have taken on a significant role in the healthcare industry over the last decade. In 2018, the valuation of private equity deals …
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Revenue Cycle
June 22, 2021 The Key to Denial Management in Healthcare: Intervene on the Front End Denial management in medical billing and coding can be complex, but there are ways to simplify the process. As many as 65% of claim denials are never …
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Revenue Cycle
May 20, 2021 What Are Custom Claim Edits and Why Are They Important? What are claim edits? According to Healthcare Innovation, healthcare claims editing is a step in the claims payment cycle that involves verifying …
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Revenue Cycle
April 20, 2021 How to Achieve Clean Claims with Less Effort What is a clean claim? According to AAPC, a clean claim is defined as “a claim free of any errors.” Submitting these the first time around is …
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Revenue Cycle
March 25, 2021 Medical Coding Software: 3 Things to Look for When Choosing a Vendor Medical coding software that improves reimbursement, compliance, and productivity is a priority for many medical groups. A recent survey of the …
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Revenue Cycle
March 16, 2021 How Crozer Health Improved Efficiency and Reduced Denials Crozer Health is a community-focused healthcare system in Delaware County, Pennsylvania. Since 2016, Crozer Health has been a part of Prospect …
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Revenue Cycle
February 23, 2021 Does Your Claim Scrubber Meet Your HCC Coding Needs? As the healthcare industry shifts from fee-for-service to value-based care, revenue cycle and coding teams must adapt their processes and …
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Revenue Cycle
February 11, 2021 A New Level of Efficiency: How Peak Vista Eliminated Hours of Daily Claim Review Peak Vista is a nonprofit federally qualified health center in Colorado with 188 providers serving over 94,000 patients through 27 outpatients …
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