Evidence-based perspectives on healthcare revenue cycle management, financial analytics, and practice optimization — drawn from 44+ years of operational experience serving physician practices nationwide.
Category: RCM Fundamentals · Read time: 8 min · Published: March 31, 2026
Revenue cycle management (RCM) encompasses the entire financial lifecycle of a patient encounter — from scheduling through final payment. Learn how a disciplined RCM process can transform your practice's financial health.
Category: Denial Management · Read time: 6 min · Published: March 25, 2026
Most practices operate with denial rates between 10–15%. Currence maintains a 4% denial rate through systematic prevention, intelligent claim scrubbing, and aggressive appeals. Here's how.
Category: RCM Fundamentals · Read time: 10 min · Published: April 9, 2026
Physician practices lose 5–10% of net revenue to preventable billing inefficiencies every year. This guide identifies the eight specific revenue leakage points across the billing cycle.
Category: Specialty Billing · Read time: 7 min · Published: April 7, 2026
ENT practices face unique billing complexities — from concurrent procedures to modifier requirements. A specialty-focused approach is essential for maximizing reimbursement.
Category: Specialty Billing · Read time: 12 min · Published: April 10, 2026
Dermatology billing involves some of the most complex procedure-level coding in outpatient medicine. Covers Mohs surgery billing, destruction code selection, the medical vs. cosmetic distinction, and the 2026 CMS skin substitute rule change.
Category: Specialty Billing · Read time: 13 min · Published: April 10, 2026
Ophthalmology billing requires precise differentiation between medical and routine eye exams, careful management of cataract surgery global periods, and specialty-specific documentation standards.
Category: Practice Strategy · Read time: 9 min · Published: April 7, 2026
Should your practice outsource revenue cycle management? We analyze the true cost of in-house billing versus professional RCM services, including hidden costs most practices overlook.
Category: RCM Fundamentals · Read time: 9 min · Published: April 7, 2026
Credentialing errors and enrollment gaps delay or deny nearly 30% of medical claims. This guide covers the $7,500-per-day cost of delays and the seven most common enrollment errors.
Category: Analytics · Read time: 11 min · Published: April 6, 2026
The 12 revenue cycle KPIs every physician practice should track — with benchmarks, formulas, and the thresholds that signal a billing performance problem.
Category: Coding Compliance · Read time: 10 min · Published: April 5, 2026
The OIG recovered $2.91 billion in FY 2024. This guide covers what auditors look for, common findings, and how to build a proactive internal audit program.
Category: Analytics · Read time: 5 min · Published: March 18, 2026
Days in accounts receivable is the single most diagnostic metric for revenue cycle health. We break down benchmarks by specialty and reveal the levers that move the needle fastest.
Category: RCM Fundamentals · Read time: 7 min · Published: March 10, 2026
A high first-pass rate is the foundation of efficient revenue cycle management. Learn the systematic approach that delivers a 97% first-pass acceptance rate across all specialties.
Category: Practice Strategy · Read time: 12 min · Published: April 8, 2025
Private equity acquisition of physician practices reached record levels. This guide explains the revenue cycle risks at acquisition close and how PE-backed practices stabilize collections.
Category: Practice Strategy · Read time: 14 min · Published: March 15, 2025
PE-backed healthcare platforms face a complex RCM integration challenge. This guide covers the three-phase integration framework that protects collections while building scale.
Category: Practice Strategy · Read time: 13 min · Published: February 20, 2025
Every PE acquisition includes a Quality of Earnings analysis. This guide explains how RCM performance gaps become valuation haircuts in the Quality of Revenue process.
Category: Practice Strategy · Read time: 12 min · Published: January 15, 2025
Every RCM metric has a direct dollar value at the time of sale. This guide shows the precise math between NCR, Days in A/R, denial rate, and enterprise value.
Category: Specialty Billing · Read time: 14 min · Published: December 10, 2024
Sleep medicine has the highest prior authorization burden and longest Days in A/R of almost any specialty. This guide covers study type coding, split-night billing, and payer-specific requirements.
Category: RCM Fundamentals · Read time: 13 min · Published: November 5, 2024
Providers collect only 24% of patient balances after insurance pays. This guide covers point-of-service collection, text-to-pay, and payment plan strategies.
Category: Denial Management · Read time: 14 min · Published: October 1, 2024
Prior authorization creates 13 hours of administrative burden per physician per week. This guide explains the four categories of PA failures and workflows that reduce denial rates by 60–80%.
Category: Practice Strategy · Read time: 15 min · Published: September 10, 2024
Physicians have 12–18 months to clean up their revenue cycle before it gets repriced in due diligence. This practical checklist covers every RCM action across four phases.