Insights has moved
Our latest RCM playbooks and case notes live on the blog. We’re redirecting you now.
Popular Posts
Clean-Claim Rate Playbook
Edit libraries, rejection SWAT windows, and definition locks that raise first-pass yield.
Prior Authorization Turnaround
Coverage grids, payer criteria prompts, and escalation macros that cut day-of-surgery risk.
Denials: Root-Cause to Overturns
Preventable vs. unpreventable splits, appeal templates with evidence, and win-rate tracking.
Coding QA with AQL & Calibration
Defect classes (NCCI, modifiers, LCD/NCD), exemplars, and drift checks that reduce escapes.
AR Aging Recovery (30/60/90+)
Worklist logic, high-dollar lanes, and call documentation that increases collections yield.
Definitions That Don’t Drift
How to pin metric definitions next to dashboards so audits and coaching go faster.