Insights

Medical Billing & RCM Blog

Practical, no-fluff guidance on billing, coding, denials, credentialing, and getting paid faster, written by a team that does this every day.

Fundamentals

What Is Revenue Cycle Management (RCM)?

A plain-English guide to what RCM stands for, the stages of the healthcare revenue cycle, why it matters, and the numbers that measure it.

Credentialing

How to Get Credentialed with Insurance Companies

A step-by-step guide: NPI, CAQH, payer applications, follow-up, and effective dates, plus the mistakes that stall approval.

Fundamentals

What Does RCM Stand For? Medical Billing Acronyms Explained

What RCM stands for, plus a plain-English glossary of the billing and revenue cycle acronyms you actually see: AR, EOB, ERA, CARC, CAQH, and more.

Coding

Physical Therapy Billing Units & the 8-Minute Rule

How to count PT units: timed vs untimed codes, the 8-minute rule table, worked examples, and the mistakes that cost therapy clinics revenue.

Coding

What Is Incident-To Billing? Rules & Requirements

The Medicare rule that lets NPP services bill under the physician at 100%, the requirements to meet, and where it does not apply.

Fundamentals

Medicare Billing: A Guide for Providers

How Medicare billing works: PECOS enrollment, MACs, Part B claims, the fee schedule, assignment, timely filing, ABNs, and common denials.

Coding

Mental Health Billing Codes (CPT), Explained

The CPT codes for psychotherapy, evaluations, add-ons, testing, and group and family therapy, with time thresholds and the rules that get sessions denied.

Press Release

PRMS Billing Solutions Expands Nationwide Medical Billing to 25+ Specialties

PRMS announces specialty-specific medical billing and RCM across 25+ specialties nationwide, a redesigned website, and a free revenue analysis.

Denials

Common Medical Billing Denial Codes & Solutions

A plain-English guide to CO-45, CO-97, PR-1, CO-16 and more, what each denial code means and exactly how to fix it.

Fundamentals

The Medical Billing Process, Step by Step

The ten steps of the revenue cycle in order, from registration and eligibility to coding, submission, denials, and AR.

Fundamentals

Medical Billing vs. Medical Coding: The Difference

What each does, the codes involved, how they work together, and why your practice needs both done well.

Revenue Cycle

How to Reduce Claim Denials: 9 Fixes That Work in 2026

The top reasons claims get denied and nine proven fixes to lower your denial rate and speed up reimbursement.

Practice Management

In-House vs. Outsourced Medical Billing: How to Decide

A straight comparison of costs, control, and results, and when each option actually makes sense for your practice.

Pricing

How Much Do Medical Billing Services Cost?

The three pricing models, typical rates, what should be included, and why the cheapest percentage isn’t the best value.

Credentialing

The Medical Credentialing Process & Timeline, Explained

How credentialing works step by step, how long each stage takes, and how to avoid the delays that cost revenue.