Clean Claim in Medical Billing: What It Is, Why Claims Get Rejected & How to Improve Your Clean Claim Rate
A medical practice can provide excellent patient care and still experience delayed payments when claims are submitted with errors. Incorrect patient information, inactive insurance, missing authorization, coding mistakes, and incomplete claim data can prevent a claim from being processed correctly. This is why the clean claim rate is an important medical billing metric. It helps […]
Medical Billing Audit: 15 Things Every Healthcare Practice Should Check Before Revenue Is Lost
Having a lot of work does not always translate to good revenues. Healthcare practices that have a great patient population and file thousands of claims per month could still have their revenues suffer from errors in coding, billing, problems related to patient eligibility, claim denials, underbilling, and other reasons related to delays in A/R follow-up. […]
Payment Posting in Medical Billing: Process, Benefits & Best Practices
A medical claim does not mean the revenue cycle is finished once the insurance company processes it. The next step is just as important: making sure the payment, adjustments, patient responsibility, and remaining balance are accurately recorded in the practice’s billing system. This is where payment posting in medical billing comes into play. What Is […]
Medical Billing KPIs: 15 Metrics Every Healthcare Practice Should Track
The mere presence of a packed appointment schedule does not necessarily mean healthy financial results. The number of patients that you see is not always associated with good income since the following issues can cause revenue loss long before becoming apparent: This is the reason why the KPIs related to medical billing become so significant. […]
What Is A/R Follow-Up in Medical Billing? How Providers Can Recover Unpaid Claims in 2026
Sending a claim to a payer is only the halfway point. After submission, a claim might sit in a queue, come back denied, get paid at the wrong amount, or stall because the payer needs one more document. Someone has to notice and act. That work is called A/R follow-up. Accounts receivable (A/R) is the […]