Category: Revenue Cycle Management
Payment Posting in Medical Billing: Steps, Adjustment Codes and Accuracy Targets for 2026
Payment posting in medical billing is the process of recording insurance and patient payments, contractual adjustments and denials against the correct claim and service line in the practice management system. Posting uses remittance advice to update balances, trigger patient billing and flag denials for follow-up, so accounts receivable reflects what is actually owed. Every dollar […]
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Net Collection Rate vs Gross Collection Rate: Formulas, Benchmarks and Which One to Trust
Net collection rate vs gross collection rate comes down to the denominator: gross collection rate divides payments by total billed charges, while net collection rate divides payments by charges minus contractual adjustments. Gross rate reflects fee schedule and contracts, and net rate shows how much collectible revenue a practice actually collected. A practice that collects […]
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Medical Claim Scrubbing and Clean Claim Rate: How They Work Together in 2026
Medical claim scrubbing is the automated review of a claim against coding, payer and format rules before submission, and clean claim rate is the percentage of submitted claims that pass without rejection, denial or a request for more information. Scrubbing is the process; clean claim rate is the scorecard that shows whether the process works. […]
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Secondary Insurance Billing and Coordination of Benefits: Who Pays First, How Much and What to Submit in 2026
Secondary insurance billing is the process of submitting the balance left after a primary payer pays to a patient’s second health plan. Coordination of benefits (COB) rules decide which plan pays first and cap combined payment, so the two plans together never pay more than the covered amount. Who pays first when a patient has […]
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How to Read an ERA / 835 Remittance Advice: A Top-to-Bottom Guide for Billers
How to read an ERA (835 remittance advice): start at the payment header to match the trace number to the bank deposit, then read each claim’s status and amounts, check every adjustment’s group code, reason code and remark code, and finish with provider-level adjustments. A correctly read ERA balances to the penny against the deposit. […]
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Neurosurgery and Spine Surgery Billing Services Guide
Quick answer: Neurosurgery and spine surgery billing services manage prior authorization, operative note coding, and surgical modifiers for brain and spine procedures. They also track global periods, submit claims, and follow up on denials. Medicare rules shape payment, such as 62.5% of the fee to each co-surgeon. A clean claim rate of 95% or higher […]
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Best Internal Medicine Revenue Cycle Management in Louisiana
The best internal medicine revenue cycle management in Louisiana treats every stage, from front-end eligibility verification through mid-cycle coding to back-end claims and collections, as one connected process managed by a single accountable team. Rather than handling billing as a series of disconnected tasks, best-in-class RCM tracks measurable KPIs like clean claim rate and net […]
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Best Internal Medicine Credentialing and Billing in Kansas
The best internal medicine credentialing and billing in Kansas combines fast, accurate payer enrollment with HIPAA-compliant medical billing under one dedicated agent. That means CAQH profiles, Medicare and Medicaid enrollment, and re-credentialing are managed alongside ICD-10 coding, CPT codes, and denial management, so a new internist can start billing in 30 to 45 days instead […]
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Accurate Internist Billing Company in Arkansas
An accurate internist billing company in Arkansas is one that pairs certified coders with HIPAA-compliant medical billing workflows to keep ICD-10 coding, CPT codes, and HCPCS codes error-free on every claim. Accuracy shows up in measurable numbers: a coding accuracy rate near 95% or higher, a clean claim rate above 95%, and a first-pass denial […]
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Top-Rated Internal Medicine Billing Services in Iowa
Top-rated internal medicine billing services in Iowa combine HIPAA-compliant medical billing with accurate ICD-10 coding, CPT codes, and HCPCS codes to reduce denials and speed up reimbursement. The strongest providers assign a dedicated billing agent to every practice, verify eligibility before each visit, and track hard numbers like clean claim rate and days in accounts […]
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