Resources
Insights, evidence and tools for revenue cycle leaders.
Field-tested playbooks, customer outcomes, and research from the teams that built RapidClaims — written for CFOs, RCM directors and HIM leaders.
Field-tested playbooks, customer outcomes, and research from the teams that built RapidClaims — written for CFOs, RCM directors and HIM leaders.
NCCI edits change every quarter. A coder right on March 31 can be wrong on April 1. See which service lines the Q2 2026 update hits first.
What will the revenue cycle leader of 2030 need to know? How to govern systems that decide. Includes an eight-question readiness check.
A short payment closes at zero, just like a correct one. Check 90 days of zero-balance accounts against your 2026 contracted rates.
An infusion runs a second hour. Only the first gets billed. Map the four zones where charges drop and size the leak off your own net revenue.
Daily cash, AR days and final denial rate only speak after the money is gone. Pair each with a leading metric that still lets you act.
A denial takes a second. An appeal takes weeks and $25-57. Under 1% get appealed; over half win. See the economics behind denials.
Code sets change four times a year, not once. A claim coded right in January can be wrong by April. See every date that resets your work.
A claim can pay cleanly and still capture less than the note supported. Find the note-to-code gap with a paid-claim self-audit.
CJR-X makes joint-replacement bundles mandatory nationwide. The target price is set before the procedure. Map the episode and score your readiness.
Missed charges never become denials, so no dashboard shows them. Size your charge leakage off your own net revenue and find where it hides.
The denial letter is vague by design. The 835 carries the CARC and RARC the engine actually fired. Route denials by code, not by letter.
CMS-0057-F took effect January 1, 2026 — 7-day decision windows, specific denial reasons, public PA reporting ahead. This workbook turns the new rules into a weekly operating reference your RCM team can act on.
One email, every other Wednesday. Operator-grade analysis from our research team. 12,400+ subscribers across U.S. health systems.