Revenue Rx

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

FCA Settlement Cases and What We Can Learn from Them

I presented at the HCCA 30th Annual Compliance Institute this year on a session called “When Compliance Fails: Behavioral Hea...

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The Lure of Best Practice – The Next Shining Object Challenge

Healthcare organizations love best practices. They attend conferences, compare dashboards, and borrow workflows that worked s...

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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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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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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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