Topic
Revenue cycle
10 articles on revenue cycle — what the work involves, what to organize before handing it to anybody, and how to tell whether it is working. No gates and no email capture.
How payment posting works, and where money hides
Payment posting decides what every other report in the practice says. Posted carelessly, it hides denials inside adjustments and makes the ageing report fiction. This is how to run it properly.
How charge entry and claim submission work
Charge lag is the cheapest problem in the revenue cycle to fix and the least often measured. This is how a dedicated charge entry seat runs, what it should scrub before submission, and what has to be decided first.
How patient billing and statements work
Patient balances are the part of accounts receivable most likely to be billed wrongly and least likely to be chased consistently. This is how to run the cycle without damaging the relationship the practice depends on.
How hospital patient access and pre-registration work
Registration is where most denials are created and where almost none are detected. This is what pre-registration and financial clearance should cover, and how to staff it as a defined queue.
How to find payer underpayments nobody is looking for
A denial announces itself. An underpayment does not — it looks exactly like a payment. This is how to build the comparison that finds them and the evidence that recovers them.
How workers’ compensation billing differs from commercial
These claims pay slowly, on different rules, to a different party, and they need a queue that is not the commercial one. This is what that queue has to contain.
How behavioural health and ABA billing work
This is authorization-unit accounting as much as billing. Run out of approved units mid-course and the sessions still happen — they just stop being billable.
How DME billing works, and why documentation decides it
In durable medical equipment the claim is the easy part. The documentation file behind it decides whether the claim survives, and it has to be complete before the item ships.
How dental billing and medical cross-coding work
Dental plans limit what they pay in ways medical plans do not — annual maximums, frequency limits, waiting periods, missing tooth clauses. Verification here is a treatment-planning input, not a formality.
Volume is the same but the deposit is smaller. Where did it go?
Same schedule, same providers, smaller cheque. There are five places the money goes, and three reports you already have will tell you which one.
If this is work somebody on your team is doing at four in the afternoon, it can be a seat.
Next step
One seat. One month. Cancel any time.
Twenty minutes on a call is enough to tell whether this fits. If it does not, I will say so.
Or write to ops@softhomeglobal.com