ANSWERS FOR INDEPENDENT PRACTICES

Straight answers to the questions your practice actually asks.

Revenue, billing, denials, contracts, staffing, and operations, answered honestly for the people who run an independent practice. Find yours below.

For Providers

Revenue Cycle
How do I read an EOB or 835 remittance?
Compliance
How do I survive a payer or Medicare audit?
Technology
How can AI actually help my medical practice?
Operations
How do I spend less time on documentation and charting?
Revenue Cycle
Am I coding my E/M visits correctly under the 2021 rules?
Practice Finance
Should I stay independent or join a hospital or PE group?
Revenue Cycle
What's the difference between a 99213 and a 99214?
Revenue Cycle
How do I bill telehealth correctly?
Compliance
What is a peer-to-peer review, and how do I win one?
Compliance
External review: your rights after a final internal denial.
Payers
Is payer downcoding legal, and how do I respond?

For Practice Owners

Revenue Cycle
How do I know if I'm being underpaid by insurers?
Practice Finance
In-house billing vs. outsourcing: which is right for my practice?
Payers
How do I renegotiate payer contracts for better rates?
Operations
How do I hire and keep a good medical biller?
Compliance
How do I survive a payer or Medicare audit?
Practice Finance
Is my practice financially healthy? The benchmarks that matter.
Practice Finance
How do I increase my practice's revenue without seeing more patients?
Technology
How can AI actually help my medical practice?
Practice Finance
Should I stay independent or join a hospital or PE group?
Technology
How do I choose or switch an EHR or practice management system?
Practice Finance
How do I value and sell my medical practice?
Revenue Cycle
What is a good denial rate for a medical practice?
Practice Finance
What is a good net collection rate, and how do I calculate it?
Compliance
How do I appeal a Medicare overpayment or extrapolated demand?
Practice Finance
How much do medical billing companies charge?
Compliance
What is the No Surprises Act and how does it affect my practice?
Operations
How long does provider credentialing take, and how do I speed it up?
Practice Finance
Is appealing denied claims worth it? The real math per claim.
Revenue Cycle
What percentage of denied claims are never appealed?
Operations
My biller just quit — how do I protect cash flow?
Practice Finance
How do I tell if my billing company is doing a good job?
Payers
How far back can I recover underpayments from a payer?
Compliance
External review: your rights after a final internal denial.
Practice Finance
The revenue-cycle KPIs worth tracking (and their targets).
Practice Finance
What does it cost to rework a denied claim?
Payers
What percent of Medicare should my commercial rates be?
Compliance
How do I respond to a commercial overpayment demand?
Practice Finance
We can't afford denial-management staff — what are the options?
Payers
How do I build a payer scorecard?

For Practice Managers

Revenue Cycle
How do I lower my practice's denial rate?
Revenue Cycle
How do I reduce days in A/R?
Revenue Cycle
How do I know if I'm being underpaid by insurers?
Practice Finance
In-house billing vs. outsourcing: which is right for my practice?
Payers
How do I renegotiate payer contracts for better rates?
Operations
How do I fix my prior-authorization workflow?
Operations
How do I hire and keep a good medical biller?
Compliance
How do I survive a payer or Medicare audit?
Practice Finance
Is my practice financially healthy? The benchmarks that matter.
Technology
How can AI actually help my medical practice?
Operations
How do I reduce patient no-shows?
Revenue Cycle
How do I improve point-of-service and patient collections?
Technology
How do I choose or switch an EHR or practice management system?
Revenue Cycle
What is a good denial rate for a medical practice?
Practice Finance
What is a good net collection rate, and how do I calculate it?
Practice Finance
How much do medical billing companies charge?
Compliance
What is the No Surprises Act and how does it affect my practice?
Revenue Cycle
What is a clean claim rate and how do I improve it?
Revenue Cycle
What's the difference between a claim rejection and a denial?
Operations
How long does provider credentialing take, and how do I speed it up?
Revenue Cycle
How long do I have to appeal a denied claim?
Practice Finance
Is appealing denied claims worth it? The real math per claim.
Revenue Cycle
What percentage of denied claims are never appealed?
Payers
A payer is recouping or taking back payments — how do I dispute it?
Operations
My biller just quit — how do I protect cash flow?
Practice Finance
How do I tell if my billing company is doing a good job?
Payers
Virtual credit card payments: can my practice refuse the fees?
Payers
A payer is paying slowly — escalation paths that actually work.
Compliance
ERISA appeals: why self-funded plans play by different rules.
Revenue Cycle
How do I build a denial-management workflow for a small practice?
Practice Finance
The revenue-cycle KPIs worth tracking (and their targets).
Revenue Cycle
What should a practice auto-write-off? A defensible policy.
Practice Finance
What does it cost to rework a denied claim?
Revenue Cycle
What is charge lag, and how do I shrink it?
Payers
How do I get my fee schedule from a payer? (They resist — here's how.)
Payers
What percent of Medicare should my commercial rates be?
Compliance
Can I bill the patient after a denial? (Honest guardrails.)
Practice Finance
We can't afford denial-management staff — what are the options?
Revenue Cycle
How do I work a 90+ day aged-A/R backlog?
Revenue Cycle
Insurance A/R vs. patient A/R: two workflows, not one.
Payers
How do I build a payer scorecard?
Operations
How do I keep an appeal log that survives staff turnover?

For Billing Leads

Revenue Cycle
How do I lower my practice's denial rate?
Revenue Cycle
How do I reduce days in A/R?
Revenue Cycle
How do I read an EOB or 835 remittance?
Revenue Cycle
How do I know if I'm being underpaid by insurers?
Operations
How do I fix my prior-authorization workflow?
Revenue Cycle
Am I coding my E/M visits correctly under the 2021 rules?
Revenue Cycle
How do I improve point-of-service and patient collections?
Revenue Cycle
What is a good denial rate for a medical practice?
Practice Finance
What is a good net collection rate, and how do I calculate it?
Compliance
How do I appeal a Medicare overpayment or extrapolated demand?
Revenue Cycle
What's the difference between a 99213 and a 99214?
Revenue Cycle
How do I bill telehealth correctly?
Revenue Cycle
What is a clean claim rate and how do I improve it?
Revenue Cycle
What's the difference between a claim rejection and a denial?
Revenue Cycle
How long do I have to appeal a denied claim?
Revenue Cycle
How do I write an insurance appeal letter that actually wins?
Revenue Cycle
Reconsideration vs. appeal vs. corrected claim: which do I file?
Compliance
What is a peer-to-peer review, and how do I win one?
Payers
A payer is recouping or taking back payments — how do I dispute it?
Payers
How far back can I recover underpayments from a payer?
Payers
Virtual credit card payments: can my practice refuse the fees?
Payers
A payer is paying slowly — escalation paths that actually work.
Compliance
ERISA appeals: why self-funded plans play by different rules.
Compliance
External review: your rights after a final internal denial.
Payers
Is payer downcoding legal, and how do I respond?
Revenue Cycle
How do I build a denial-management workflow for a small practice?
Revenue Cycle
What should a practice auto-write-off? A defensible policy.
Revenue Cycle
What is charge lag, and how do I shrink it?
Payers
How do I get my fee schedule from a payer? (They resist — here's how.)
Compliance
Can I bill the patient after a denial? (Honest guardrails.)
Compliance
How do I respond to a commercial overpayment demand?
Revenue Cycle
How do I work a 90+ day aged-A/R backlog?
Revenue Cycle
Insurance A/R vs. patient A/R: two workflows, not one.
Operations
How do I keep an appeal log that survives staff turnover?
Revenue Cycle
How do I file secondary claims correctly?

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