Outsourced billing, decoded
A 23-page guide for practice owners who suspect something is off with their billing partner and need a clean way to prove it.
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THE ROI LIBRARY
The library. One filter, four content types.
Field reports, specialty guides, technical modules, and appeal templates, all in one place. Filter by what you need. Sort by what’s most useful right now.
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FEATURED THIS MONTH
Outsourced billing, decoded: 23 pages on what your billing partner is not telling you
A working guide for practice owners and managers who suspect something is off with their outsourced billing relationship and want a clean way to prove it. Seven contract questions, three numbers that tell you whether the partner is performing, and exact language to put in the next agreement.
Field report
All specialties
18 min
Read the guide →
Denials and appeals library
Two PDFs: a denial pattern guide and an appeal playbook library. Built from real claims, not from a textbook.
Read →Front-end guard: eligibility as denial prevention
The intake-side workflow that prevents the denials your back-office team is currently chasing.
Read →The revenue integrity blueprint
A 90-day operational plan for restoring revenue integrity in a practice that has lost it.
Read →The universal translator: payer-speak to operator-speak
What payer denial language actually means, with the workflow fix for each pattern.
Read →Appeal templates
A starter set of appeal letter templates organized by denial pattern.
Read →CARC 16: missing or invalid information
What the denial actually means, where it usually originates upstream, and the appeal language that works.
Read →CARC 16 + RARC: completing the story
Why the CARC alone is not enough, and how the RARC tells you what to fix at the front end.
Read →CARC 119: benefit maximum reached
A clean denial pattern that gets misread as workable. The fix is upstream.
Read →CARC 4: modifier missing or invalid
The modifier denial that hides a coding-team workflow problem.
Read →CARC 49: routine service not covered
A denial that needs a coverage check, not an appeal.
Read →CARC 97: bundling and not separately billable
The bundling denial that requires a modifier strategy, not a fight with the payer.
Read →Behavioral health billing playbook
The denials, payer behaviors, and workflow patterns specific to behavioral health practices.
Read →Dermatology billing playbook
Modifier 25, biopsy bundling, MOHS rules, and the rest of derm-specific revenue cycle nuance.
Read →Physical therapy billing playbook
Cap rules, PTA modifiers, GP/GO/GN coding, and the workflow design that prevents downstream denials.
Read →Ambulatory surgery center billing playbook
Multiple-procedure discounting, implant billing, and the documentation specifics that make ASC AR clean.
Read →Specialties overview
The full specialty index. Currently four. More in production.
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THE DISPATCH
Monthly. One email. No fluff.
One specific revenue cycle insight per issue: a billing pattern, a payer behavior shift, a workflow design that’s working, or a front-end fix that prevents downstream denials. Under five minutes to read. The first Tuesday of every month.