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What Is Healthcare Revenue Cycle Management (RCM)?

Table of ContentsIntroductionWhat Is Healthcare Revenue Cycle Management?Core Components of Hospital RCMWhy Is Healthcare Revenue Cycle Management Important?The Benefits of Revenue Cycle Management ServicesCommon Challenges and Errors in the RCM ProcessThe Growing Trend of Outsourcing Medical Billing and RCM SolutionsRCM Solutions and Outsourcing for Healthcare ProvidersAdvantages of Outsourcing Medical Billing ...Read More
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Why Claim Denials Hit Tribal Health Harder—and How RCM Teams Can Reverse the Trend

Claim denials continue to rise across the healthcare landscape, and Tribal Health Organizations (THOs) remain among the most affected. Revenue cycle leaders across Tribal Health Centers, health departments, and Purchased/Referred Care (PRC) programs face payer complexity, stricter documentation requirements, and administrative pressures that far exceed those of most non-Tribal organizations. ...Read More
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How to Use AI in RCM to Keep Your Revenue Flowing

It’s 8:15 on a Monday morning and your inbox is already full with payer rejections. A claim you swore was clean has come back denied. Another sits in limbo, waiting on a status update from a portal your staff has logged into three times already. The team’s shoulders slump, coffee ...Read More
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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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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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