Healthcare Billing Authority Blog
Expert guidance on medical billing, coding, revenue cycle management, and healthcare reimbursement.
Latest Articles
Why Your Medical Practice Is Collecting Less Than It Should: 7 Silent Revenue Killers
Most physicians are leaving 15-30% of earned revenue uncollected without realizing it. Here are the seven most common revenue killers we find in practices — and exactly how to fix them.
The Growing Challenges of Free-Standing Emergency Rooms — And How Rafsons Med Billing Solves Them
Free-standing emergency rooms are rapidly expanding across the healthcare landscape, but behind their growth lies a complex set of challenges—ranging from evolving payer rules and denied claims to compliance pressures, staffing inefficiencies, and unpredictable revenue cycles. As patient volumes increase, so does the difficulty of maintaining clean, timely, and accurate billing that ensures financial stability. This article explores these rising operational and financial hurdles and highlights how Rafsons Med Billing helps free-standing ERs overcome them through specialized revenue cycle management, denial reduction strategies, and end-to-end billing optimization—turning complexity into consistent, scalable revenue performance.
The Complete Guide to Medicare Reimbursement in 2025: What Every Physician Needs to Know
Medicare reimbursement rates changed again in 2025. Here is a plain-English breakdown of the conversion factor, specialty-specific impacts, and strategies to protect your practice revenue.
How to Fight a Denied Insurance Claim and Win: A Step-by-Step Appeals Guide for Physicians
Getting a claim denied is frustrating. But 90% of denials are reversible with the right appeals process. Here is exactly how to fight back and win, with real scripts and templates.
Prior Authorization Is Destroying Physician Productivity: Here Is What You Can Do About It
The average physician spends 14 hours per week on prior authorizations. That is 728 hours per year — nearly 90 working days — on paperwork instead of patient care. Here is how to fight back.
Telehealth Billing in 2025: The Rules Have Changed and Most Practices Are Getting It Wrong
Telehealth billing rules changed significantly after 2023. Many practices are still billing using pandemic-era flexibilities that no longer apply, creating compliance risk and lost revenue.
How to Reduce Your Denial Rate Below 3%: A Comprehensive RCM Guide
Discover the proven strategies top-performing practices use to identify denial root causes and implement systematic prevention programs that eliminate recurring denials.
How to Choose the Right Medical Billing Company: 12 Questions Every Physician Must Ask
Choosing the wrong billing company can cost your practice hundreds of thousands of dollars. Here are the 12 questions that separate great billing partners from expensive mistakes.
Medical Credentialing Mistakes That Cost Practices Millions: What Every New Physician Needs to Know
Credentialing errors and delays are among the most expensive mistakes a medical practice can make. Here are the most common credentialing mistakes and how to avoid every single one.
ICD-10 Updates 2025: Everything Healthcare Providers Need to Know
CMS released significant ICD-10 code changes effective October 2025. Our coding experts break down the most impactful changes for your specialty.
The Physician Guide to Understanding Your Explanation of Benefits: Reading EOBs Like a Billing Expert
Most physicians never look at their EOBs closely enough to catch payment errors. Here is how to read an EOB like a billing expert and identify the underpayments hiding in plain sight.
Why High Deductible Health Plans Are Changing Everything About Medical Practice Finances
Over 55% of Americans with employer-sponsored insurance are now in high-deductible health plans. This fundamentally changes how practices need to approach patient collections, financial counseling, and revenue cycle management.
Provider Credentialing Timeline: Realistic Expectations and How to Accelerate Enrollment
A detailed breakdown of the credentialing process by payer type, typical timelines, and actionable strategies to get your providers billing faster.
The New Physician Practice Start-Up Billing Checklist: Everything You Need Before Seeing Your First Patient
Starting a new medical practice? The billing and credentialing decisions you make in the first 90 days will shape your financial performance for years. Here is the complete checklist.
The True Cost of Medical Billing Errors: What Every Practice Administrator Needs to Know
Research shows billing errors cost the average medical practice 7-11% of annual revenue. Here is how to identify and eliminate the most common billing errors.
Navigating Prior Authorization in 2025: Payer Changes and Technology Solutions
CMS finalized new prior authorization rules for Medicare Advantage plans. What do these changes mean for your practice and how should you update your workflows?
What is a Good Days in AR for Your Medical Specialty? Benchmarks and Improvement Strategies
Days in accounts receivable varies significantly by specialty and payer mix. Here are current benchmarks and strategies top performers use to stay ahead.