Blog
Playbooks for stopping revenue leaks.
Practical guides for medical billing teams. Each post pairs a single industry stat with the workflow change that closes the gap.
- Denial recovery May 24, 2026 · 7 min read
Why 60% of denials are never appealed (even though 70-80% of appeals win)
The largest source of revenue leakage in outpatient billing isn't denied claims. It's denied claims your team never had time to fight. Here's the math and the playbook.
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- Retro-Medicaid May 22, 2026 · 6 min read
Post-approval Medicaid retro-eligibility: the cash cow billers still do by hand
Self-pay at the visit, Medicaid coverage approved 60 days later. Every billing company we've talked to runs this lookup hundreds of times a month, manually. Here's what the workflow looks like when an agent runs it.
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- CARC playbook May 20, 2026 · 5 min read
CARC 197 decoded: how to win back missing-authorization denials
CARC 197 is the most common preventable denial in outpatient billing, 'Precertification/authorization/notification/pre-treatment absent.' Here's the appeal template that actually wins, and the workflow change that makes 197 stop showing up.
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