Revenue Cycle Automation
Revenue cycle teams process more paper than anyone in healthcare. This category looks at the revenue cycle as a whole: where manual data entry slows it down, what AI and RPA can and cannot automate, how denial management and appeals work, which reconsideration forms and letters payers expect, and how to measure the result. Read the overview of revenue cycle steps first, then the post on where manual data entry slows the revenue cycle.
Medicare Reconsideration Form: Filing a Level 2 Appeal
How to fill in the Medicare reconsideration form for a level 2 appeal: who reviews it, the 180-day deadline, the fields that matter and what evidence to add.
October 15, 2026medicareappealsforms
Revenue Integrity Basics for Billing and Coding Teams
Revenue integrity basics for billing teams: what the function covers, how charge capture and chargemaster reviews work, and which metrics show lost revenue.
October 14, 2026revenue integritycharge capturechargemaster
Denial Root Cause Analysis: Fixing Denials at the Source
Run a denial root cause analysis step by step: group denials by reason, trace each to the upstream step that caused it, and fix the cause instead of appealing.
October 13, 2026denialsrevenue cyclebilling
Medicare Appeal Letter Sample for Denied Claims
A Medicare appeal letter sample for a denied claim, with the required details Medicare contractors check and notes on adapting the letter to each denial.
September 26, 2026medicareappealsletters
Robotic Process Automation for Medical Billing vs AI
Compare robotic process automation for medical billing with AI extraction: what bots do in portals, why they break, and when to pair the two in one workflow.
September 24, 2026rpabillingautomation
Where to Start Automating the Revenue Cycle
Where to start automating the revenue cycle: a scoring method to rank tasks by volume, error rate and risk, then pick a first pilot you can measure in weeks.
September 17, 2026automationrevenue cycleplanning
Medicare Advantage Appeals and Grievances: The Difference
Medicare Advantage appeals and grievances compared: which complaints are appeals, which are grievances, the deadlines for each and how providers file them.
August 25, 2026medicare advantageappealsgrievances
Medical Billing OCR: Getting Paper Into the Billing System
How medical billing OCR reads paper claims, EOBs and statements, where plain OCR breaks on billing documents, and how field-level review keeps errors out.
August 20, 2026ocrbillingrevenue cycle
Corrected Claim vs Reconsideration vs Appeal: Which to Send
Corrected claim vs reconsideration vs appeal: what each asks the payer to do, which denial calls for which, how each is marked and when each deadline starts.
August 14, 2026denialsappealsclaimsbilling
Credit Balance and Patient Refund Processing Guide
A credit balance and patient refund processing guide: where credits come from, how to research one, when to offset or refund, and payer overpayment deadlines.
August 12, 2026credit balancesrefundsoverpaymentspayment posting
Medical Appeal Letter Sample and How to Adapt It
A medical appeal letter sample you can adapt for a denied claim, with the parts every letter needs, what to attach and how to match it to the denial reason.
August 5, 2026appealsdenialslettersbilling
Insurance Eligibility Verification Automation, Step by Step
Set up insurance eligibility verification automation: when to run batch checks, how to read 271 responses and which coverage results a person should verify.
August 3, 2026eligibility270-271front-endautomation
Medical Coding Automation: What Software Can Code Safely
Medical coding automation explained: which encounters software can code, which need a certified coder, and how coding audits catch automated mistakes early.
July 29, 2026codingauditsrevenue cycle
In House vs Outsourced Medical Billing: How to Decide
Weigh in house vs outsourced medical billing on cost, control, visibility and paper volume, with a worksheet to compare your team against a billing company.
July 6, 2026billingoutsourcingrevenue cycle
Medicare Appeals Form: Which One Fits Each Appeal Level
Which Medicare appeals form to use at each of the five appeal levels, the deadline for each, and how providers fill in the first-level redetermination form.
July 1, 2026medicareappealsdenialsforms
RCM KPI Dashboard: The Metrics Worth Tracking Weekly
Build an RCM KPI dashboard with the metrics that matter, from clean claim rate to denial rate and net collections, with formulas and the source of each number.
June 3, 2026kpisrevenue cyclereporting
Denial Management Automation: A Workflow That Holds Up
Build denial management automation that holds up: intake of denials, routing by reason code, work queues, appeal tracking and the steps to keep manual.
May 11, 2026denialsappealsworkflow
AI in Revenue Cycle Management: Where It Helps and Fails
What AI in revenue cycle management really does today: document extraction, denial prediction and coding help, plus where models fail and people must check.
March 31, 2026airevenue cycledenials
RCM Automation ROI: How to Build the Business Case
Estimate RCM automation ROI with a worked model: baseline labor and denial costs, realistic savings, review time you still pay for, and vendor questions to ask.
March 4, 2026roiautomationrevenue cycle
Where Manual Data Entry Slows the Revenue Cycle
Find where manual data entry slows the revenue cycle: the re-keying points from intake to posting, what each costs in days and errors, and how to measure it.
February 9, 2026data entryrevenue cycletime study
Revenue Cycle Steps Explained, From Scheduling to Payment
Revenue cycle steps explained in order, from scheduling and eligibility to coding, claims, posting and denials, with who owns each step and its paperwork.
September 3, 2025revenue cyclebillingclaims
Revenue Cycle Automation: What to Automate and What Not To
A practical guide to revenue cycle automation: which billing tasks software handles well, which still need people, and how to judge a tool before you buy it.
January 30, 2025automationrevenue cyclebuying
How to Reduce Days in AR Without Writing Off Revenue
How to reduce days in AR: calculate it correctly, split aging by payer and cause, and apply the fixes that speed up cash without writing off collectible claims.
November 25, 2024accounts receivablebillingkpis
Medical Billing Automation: A Task-by-Task Guide
Medical billing automation explained task by task: charge capture, claim scrubbing, posting and statements, with what each automated step needs from your team.
October 20, 2024billingautomationclaims