Total RCM Solutions

The U.S. healthcare landscape is gearing up for significant legislative reforms in 2025. Below is an overview of key upcoming legislation, their effective dates, and their implications for patients, providers, and other stakeholders. 1.⁠ ⁠The Medicare Expansion Act Proposed Effective Date: July 1, 2025 Aimed at increasing healthcare coverage, the Medicare Expansion Act seeks to […]

Introduction In the fast-paced world of healthcare, accuracy in billing is crucial. A medical billing audit ensures that your practice stays compliant with regulations, minimizes errors, and optimizes revenue. This guide walks you through the importance of medical billing audits and the steps needed to conduct a successful one. Why Medical Billing Audits Matter Medical

The onboarding process at a medical billing company is a crucial phase that sets the foundation for a successful partnership between the billing company and healthcare providers. This process involves a series of steps designed to ensure a smooth transition of billing operations, alignment of expectations, and establishment of effective communication channels. Proper onboarding is

Denial management is a crucial component of Revenue Cycle Management (RCM) and medical billing. It involves identifying, analyzing, and resolving denied claims to ensure healthcare providers receive appropriate reimbursement for their services. Effective denial management helps reduce revenue loss and improve cash flow. Below is a comprehensive overview of the denial management process, incorporating various

The payment posting process in medical billing is a critical step in the revenue cycle management (RCM) that involves recording payments received from patients and insurance companies into the medical practice’s billing system. Here’s a detailed breakdown of the process in the PDF File. Accurate payment posting is essential for maintaining up-to-date patient accounts, ensuring

The healthcare landscape is undergoing a transformative shift, driven by advancements in technology and a growing emphasis on preventive care. One of the most promising developments in this evolution is the integration of wearable technology. These devices, which range from smartwatches to fitness trackers and beyond, are revolutionizing how we approach health and wellness by

Introduction: The President’s Budget for the fiscal year 2025 has recently been released, outlining the proposed funding and priorities for various government agencies. In this blog post, we will focus on the budget for the Department of Health and Human Services (HHS) and delve into its key provisions, potential implications, and the overall impact on