Healthcare Blog
The latest in all things RCM, Electronic Health Records, Radiology Information Systems, Practice Management, Medical Billing, Value-Based Care, & Healthcare IT.
By:
Gene Spirito, MBA
April 9th, 2026
Inpatient and outpatient medical billing operate under fundamentally different rules. Different claim forms. Different code systems. Different reimbursement structures. Different compliance requirements. And, when something goes wrong, different financial consequences.
Medical Billing / RCM | Personal Injury
By:
Adam Andrew
April 8th, 2026
Workers' Comp and Personal Injury Billing is not just a billing challenge. It is a revenue cycle management problem that affects every stage of how a practice captures, processes, and collects revenue. From intake through reimbursement, these claims introduce variability that standard workflows are not designed to handle. As a result, even well-run practices can experience delays, denials, and inconsistent cash flow when these cases are not managed within a structured RCM framework.
Learn why patient engagement is a necessity and how you can master it within your practice.
By:
Christina Rosario
April 2nd, 2026
Reducing days in accounts receivable is one of the most direct ways to improve cash flow, but many practices approach it the wrong way. The default reaction is to push billing teams harder, increase follow-up volume, or demand faster turnaround on claims. In reality, those tactics often create more rework, more errors, and ultimately more burnout without solving the underlying problem.
Medical Billing / RCM | Orthopedic
By:
Adam Andrew
March 31st, 2026
Orthopedic surgery billing sits at the intersection of some of the most complex coding rules in outpatient specialty medicine and some of the highest per-claim dollar values in the physician fee schedule. That combination means every billing error costs more, every denied claim takes longer to recover, and every systematic workflow gap compounds faster than it would in almost any other specialty.
By:
Gene Spirito, MBA
March 20th, 2026
The billing decision is one of the most consequential a practice owner makes. It touches every dollar your practice collects, every staff member who handles claims, and every relationship you have with the payers your patients depend on.
Medical Billing / RCM | Orthopedic
By:
Adam Andrew
March 9th, 2026
Every January, orthopedic practices face the same pressure: new CPT codes took effect on the first, payer fee schedules have been updated, and any billing template or charge master that was not refreshed before the year started is already generating claims that will be denied or paid at the wrong rate.
Medical Billing / RCM | Orthopedic | Personal Injury
By:
Steve Hamburg
February 25th, 2026
A New Era for Healthcare Providers
By:
Christina Rosario
February 12th, 2026
The Big Picture in 2026 In 2026, revenue leakage is no longer a back office inconvenience. It has become a material financial threat for medical practices and health systems.
Medical Billing / RCM | Laboratory
By:
Jim O'Neill
February 11th, 2026
For clinical laboratories, compliance risk is no longer confined to the legal department. It is now a core financial, operational, and enterprise risk.