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  • Blogs

The Impact of Value-Based Care on Medical Billing

Healthcare continues shifting from fee-for-service (FFS)—where revenue aligns with volume—toward value-based care (VBC), where payment hinges on quality, outcomes, and patient experience. This transformative model demands significant documentation, coding, and billing workflow changes. As a seasoned partner like CPa Medical Billing, a GeBBS Healthcare company, helping practices adapt ensures clinical ...Read More
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  • Blogs

The Cost of Staffing Shortages in Revenue Cycle Management

Revenue Cycle Management (RCM) is the backbone of healthcare finance. It covers the journey from patient registration and insurance verification to medical coding, claims submission, and collections. When it runs smoothly, providers are paid promptly and can reinvest in patient care. However, the financial and operational consequences can be severe ...Read More
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  • Blogs

The ROI of Outsourcing Medical Billing for Tribal Health Organizations

Tribal Health Centers (THCs) face a uniquely complex billing environment. With diverse payer types, federal and tribal regulations, and limited staffing resources, even small inefficiencies can result in significant revenue loss or compliance risk. Outsourcing medical billing has emerged as a strategic solution to save costs, strengthen financial performance, and ...Read More
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  • Whitepapers

How Zero Balance Management Recovers Millions for Hospitals

Executive Summary Hospitals work hard to secure every dollar they’re owed. But what if some of that money is quietly slipping away? It happens more often than you may think. Closed accounts marked as zero balance may seem fully resolved, but in reality, many still contain missed revenue—dollars that should ...Read More
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  • Whitepapers

Evolution of Medical Coding from Manual Process to Fully Autonomous – Powered by GenAI

Revenue Cycle Management (RCM) represents the financial backbone of healthcare organizations, with medical coding serving as a critical component that directly impacts revenue optimization, compliance, and operational efficiency. As healthcare systems worldwide grapple with increasing complexity in medical procedures, evolving regulatory requirements, and mounting financial pressures, the traditional approaches to medical ...Read More
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  • Blogs

Strategic Denial Management: Protecting Healthcare Revenue in 2025

The Rising Challenge of Claims Denials Healthcare providers across the United States are confronting an alarming surge in claim denials that threatens financial stability and operational efficiency. Recent industry data reveals that approximately 11.8% of all medical claims were initially denied in 2024, a significant increase from 10.2% in 2020. ...Read More
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  • Blogs

5 RCM Solutions That Will Finally Stop Your Revenue Rollercoaster

Ever feel like your revenue cycle has a mind of its own? One month it’s up. The next, it’s in free fall. It’s like riding a rollercoaster in the dark, except your organization’s financial health is strapped in right beside you. Maybe you’ve thought, “We’re doing everything right. So why ...Read More
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  • Blogs

Beyond Denial Management: Why Successful Revenue Cycle Management Must Include an Appeals Strategy

Denial management is a cornerstone of successful Revenue Cycle Management (RCM). Yet many healthcare providers overlook the potential revenue recovery opportunities from a well-structured appeals strategy and process. An effective denial management process with an appeals strategy can significantly improve reimbursement rates and reduce financial losses. The High Cost of ...Read More
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