totalrcms

Pediatric practices play a vital role in children’s healthcare, providing preventive services, immunizations, developmental screenings and treatment for acute and chronic conditions. However, managing the financial side of a pediatric practice can be challenging due to specialty-specific coding requirements, insurance complexities and evolving payer policies. An effective Revenue Cycle Management (RCM) strategy helps pediatric practices

Effective October 1, 2026 The annual ICD-10-CM update is an important date on the U.S. healthcare revenue cycle calendar. Beginning October 1, 2026, healthcare organizations must use the FY 2027 ICD-10-CM diagnosis codes for applicable patient encounters. The Centers for Medicare & Medicaid Services (CMS) and the Centers for Disease Control and Prevention (CDC) have

Looking Beyond Collections to Understand the True Financial Health of Your Practice Many healthcare practices evaluate their financial performance using one simple question: “How much money did we collect this month?” While collections are undoubtedly important, they don’t tell the complete story. A practice may have strong collections in one month while still experiencing increasing

Federally Qualified Health Centers (FQHCs) play a critical role in providing accessible healthcare to underserved communities. But as Medicare billing and reimbursement policies continue to evolve, staying compliant while capturing every eligible dollar has become increasingly challenging. For FQHC leaders and billing teams, the question is not simply whether services are being delivered—it is whether

Running a successful medical practice requires more than delivering excellent patient care. Behind every patient visit is a complex revenue cycle involving eligibility verification, coding, claim submission, payment posting, denial management, AR follow-up, and payer communication. When these processes are not managed effectively, revenue can get delayed—or lost altogether. So, when should your medical practice

In healthcare revenue cycle management, aging claims are often viewed as “dead AR.” Once claims cross 120 days, many practices stop prioritizing them and shift focus to newer balances. Unfortunately, that mindset can leave thousands — sometimes millions — of dollars uncollected. The truth is: old AR is not always lost revenue. At Total RCM

At first glance, 2026 may seem like a quiet year for Medicare global surgery changes. There are no dramatic overhauls or headline-grabbing reforms. But if you look a little closer, it becomes clear—this is not a year to relax. The global surgical package, which bundles pre-operative, intra-operative, and post-operative care into a single payment, remains

Congress has passed a FY 2026 “minibus” appropriations package that includes funding for the Department of Health and Human Services (HHS) along with several important healthcare policy updates. While the bill does not extend enhanced ACA premium subsidies, it delivers meaningful changes that directly impact providers, billing teams, and revenue cycle management (RCM) organizations. Rather

The 2026 CPT® code set introduces one of the most significant updates in recent years, with extensive changes across multiple specialties. These updates reflect advancements in medical technology, evolving care delivery models, and CMS’s ongoing efforts to improve coding accuracy and reimbursement alignment. For providers, coders, and revenue cycle management (RCM) teams, understanding these changes