Revenue Rx

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

The Myth of the Perfect Organization

Spoiler: We’re All Just Figuring It Out.

I think we all have a picture in our heads of what a “successful” organization look...

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Beyond MDM: How to Actually See Risk in E/M Documentation

If You’re Only Scoring the Level, You’re Missing the Risk.

Why E/M Audits Need the Next Layer.

Ever since the 2021–2023 E/M...

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Payer Relations Reality Check — Why It’s Worse Post-COVID and What No One Is Addressing

Let’s stop pretending payer relations are a matter of “better provider communication” or “educating your staff on clean claim...

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Remote Work Reality Check: Communication, Accountability and the Quiet Decline of Standards

Remote work is no longer a temporary adjustment. It’s the new operational baseline, and with it comes a hard truth: some peop...

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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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