Revenue Rx

 The prescription for maximizing reimbursement, streamlining operations, and avoiding costly mistakes in healthcare billing.

Prepayment Review: When Oversight Becomes a Cash-Flow Nightmare

This week, I received three emails from community behavioral health organizations that all said some version of the same thin...

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The Most Dangerous Gap in Behavioral Health Isn’t Clinical It’s Operational

Why Good Behavioral Health Organizations Still End Up at Risk

Most compliance issues I see do not come from negligence or ba...

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Why Payment Posting Is the Most Overlooked Step in Healthcare RCM

In healthcare revenue cycle management, most of the focus goes to eligibility checks, claims submission, and denial follow-up...

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Cigna's E/M Code Adjustment Policy: A Misguided Solution to a Real Problem

The insurance giant's new approach to combating E/M upcoding creates more problems than it solves

Effective October 1, 2025,...

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The Hidden Cost of Copy-Paste in Behavioral Health Documentation

Clinicians are busy. Caseloads are high, appointment times are tight, and documenting in the EHR often takes longer than the ...

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Behavioral Health Contracting Isn’t One-Size-Fits-All — Here's Why

When it comes to behavioral health, one of the most misunderstood areas in the revenue cycle is contracting. I’ve seen countl...

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