These guides are for the people responsible for the practice’s revenue, not the individual claim: owners, physician leaders, administrators and practice managers. They cover the questions that come up when cash feels tight, a number on the billing report looks wrong, or you are deciding whether to keep billing in-house or bring in help.
Looking for coding references for your billing team? Those are on our free CPT cheat sheets and tools page.
Is our billing working?
Start here if you are not sure what “good” looks like, or you suspect your billing is underperforming but cannot point to why.
- The 5 billing KPIs every practice should review monthly — what to look at, and which direction is healthy
- Days in A/R: how to calculate it and what your number means — the single best early warning sign
- Clean claim rate: definition, formula and benchmark — how many claims get paid the first time
- Net vs gross collection rate — the KPI practices most often get wrong
- Revenue cycle metrics that matter (and 3 to ignore) — cut the report down to what drives cash
- Case study: cutting days in A/R at an internal medicine practice — what the fix looked like in practice
Want these numbers for your own practice?
Send us a few standard reports and we will review your A/R, denials and collection rate, then send back written findings: what is working, where revenue is slipping, and what to fix first. Free, no contract, and useful whether or not you work with us.
Request a free A/R analysisWhere is revenue leaking?
- Revenue leakage in medical billing — the common places money disappears between visit and payment
- Denial management: reduce denials and recover revenue — triage, root causes and appeals
- Medical billing audit services — what an audit finds and when to run one
- How to prepare your practice for a billing audit — what to pull together before anyone looks
Getting patients to pay
- Time-of-service collection that works — scripts and workflow for the front desk
- Patient statements and payment channels — statement design, autopay and text-to-pay
- Patient collections: in-house vs external agency — when to keep balances in-house and when to hand them off
- Good Faith Estimate checklist — No Surprises Act requirements for self-pay patients
Choosing, comparing or switching billing help
For practices weighing an in-house biller against an outside company, or unhappy with the company they have.
- In-house vs outsourced medical billing — the real cost of each, side by side
- What medical billing companies actually charge — fee models and what is usually included
- 12 questions to ask a medical billing company — what to ask before you sign
- How to compare medical billing companies — a practice owner’s checklist
- Billing savings calculator — estimate what in-house billing costs you today
Thinking about a change?
Talk it through with us. We will walk through your current setup, what a transition would involve, and what it would cost, with no pressure to switch.
Book a consultationCredentialing and new providers
- Physician credentialing services — what is included and when to outsource
- CAQH re-attestation and Medicare revalidation — the deadlines that quietly stop payments
- Medicare MAC lookup by state — find your Medicare contractor
Adding a provider or opening a location?
Our credentialing team handles payer enrollment, CAQH and revalidation so new providers can bill as soon as possible.
See credentialing servicesNot sure where to start?
Our free billing audit is the fastest way to see where your practice stands. You can also browse case studies or contact our team.