Medical Billing Resources & Practice Guides

Access our library of expert medical billing resources, RCM guides, and industry updates to help physician practices reduce denials and optimize collections.

Expert Insights

Latest Articles & Guides

Written by our certified billing specialists, coders, and RCM strategists with decades of combined experience.

⭐ Featured Article
Denial Management

5 Proven Ways to Prevent Claim Denials Before Submission

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By Linda Vasquez, CPC — Chief Coding Officer
RCM Revenue cycle management analytics dashboard

Understanding the Revenue Cycle: A Complete Guide for Physicians

From patient registration to final payment — understand each step's financial impact and how to optimize your RCM workflow.

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Compliance ICD-11 compliance coding transition

ICD-11 Transition: What Every Practice Needs to Know Now

The ICD-11 transition is coming. Here's your complete preparation checklist to ensure zero revenue disruption when it arrives.

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EHR Epic vs Cerner EHR comparison

Epic vs. Cerner: Which EHR Delivers Better RCM Outcomes?

We analyzed billing performance data from 500+ practices using both systems to find out which drives better revenue cycle results.

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Practice Mgmt. Medical practice cost comparison analysis

The True Cost of In-House Billing vs. Outsourced RCM in 2026

A data-driven breakdown of real costs — including hidden expenses most practices overlook when calculating in-house billing costs.

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Coding E/M coding documentation review

E/M Coding Updates 2026: What Physicians Must Know

CMS issued significant E/M level documentation changes this year. Here's exactly what changed, with clinical examples for each level.

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RCM AR aging report analysis

How to Read Your Practice's AR Aging Report (And Fix It)

Your AR aging report tells the story of your revenue cycle health. Learn to read it — and what action to take for each aging bucket.

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Free Resources

The MedCare Resource Library

Everything your team needs to master medical billing — guides, case studies, webinars, infographics, and our interactive ROI calculator.

2026 Medical Billing Best Practices Guide 📖 Guide 40 pages
BillingBest PracticesAll Specialties

2026 Medical Billing Best Practices Guide

A comprehensive 40-page guide covering the entire billing lifecycle — from eligibility verification to payment posting — with actionable tips for each stage.

🔜 Coming Soon
Revenue Cycle KPI Benchmarking Report 2026 📊 Report 28 pages
BenchmarksKPIs20 Specialties

Revenue Cycle KPI Benchmarking Report 2026

Compare your practice's AR days, clean claim rate, denial rate, and collection rate against industry benchmarks for 20 medical specialties.

🔜 Coming Soon
Pre-Submission Claim Denial Prevention Checklist 📋 Checklist 8 pages
Denial PreventionClaims

Pre-Submission Claim Denial Prevention Checklist

A step-by-step pre-submission checklist used by MedCare's billing team to achieve a 98% clean claim rate. Eliminates the top 15 most common denial reasons.

🔜 Coming Soon
Provider Credentialing & Enrollment Timeline Template 🎓 Template Excel + PDF
CredentialingEnrollmentPayers

Provider Credentialing & Enrollment Timeline Template

Track all enrollment deadlines, payer-specific requirements, CAQH attestation dates, and document checklists for every provider in your group.

🔜 Coming Soon
HIPAA Security & Compliance Audit Checklist 🔒 Checklist 75 points
HIPAASecurityCompliance

HIPAA Security & Compliance Audit Checklist

Self-assess your practice's HIPAA readiness with our 75-point checklist covering Privacy Rule, Security Rule, and Breach Notification Rule requirements.

🔜 Coming Soon
AI in Revenue Cycle Management: 2026 State of the Industry 📑 Whitepaper 22 pages
AIAutomationFuture of RCM

AI in Revenue Cycle Management: 2026 State of the Industry

How artificial intelligence is transforming medical billing — from AI-assisted coding to predictive denial prevention. Includes vendor landscape analysis.

🔜 Coming Soon

Real results from real clients — documented revenue improvements and billing performance metrics.

❤️ Cardiology Group

Dallas Heart & Vascular Institute Reduces AR Days by 58%

58%
Reduction in AR days
$2.4M
Additional annual revenue
4.2%
New denial rate (was 18%)
The Challenge

A 12-physician cardiology group in Dallas was struggling with a 41-day average AR, a denial rate of 18%, and $340K in aging claims over 120 days. Their in-house team of 4 billers couldn't keep up with complex cardiac procedure coding.

The MedCare Solution

We deployed a dedicated cardiology coding team, implemented AI-assisted pre-claim scrubbing, and launched an aggressive denial appeal campaign for all outstanding claims within the first 30 days.

"Our accounts receivable dropped 35% within 60 days. The transparency and communication from their team is unmatched — we finally know exactly where every dollar stands."
Dr. Sarah Mitchell, MD
Dallas Heart & Vascular Institute · Dallas, TX
🔜 Full Study Coming Soon
🦴 Orthopedics Group

Premier Orthopedics Recovers $180K in Denied Claims in Q1

$180K
Denied revenue recovered
99.1%
New collection rate
18 days
Avg. AR (was 43 days)
The Challenge

A 20-physician orthopedic group in Houston was losing thousands monthly to denials they didn't have the bandwidth to appeal. Complex surgery coding was being rejected by 3 major payers due to modifier errors.

The MedCare Solution

Our orthopedic coding specialists corrected modifier usage across 847 claims, filed 2nd-level appeals with supporting clinical documentation, and restructured prior-auth workflows to prevent future denials.

"MedCare's denial management team recovered over $180,000 in just one quarter. We had no idea how much we were losing. It was genuinely game-changing."
Robert Chen, COO
Premier Orthopedics Group · Houston, TX
🔜 Full Study Coming Soon
🧠 Multi-Specialty Clinic

Atlanta Multi-Specialty Group Completes 12-Provider Credentialing in 3 Weeks

3 wks
Credentialing completion
$620K
Revenue unlocked Day 1
12
Providers enrolled
The Challenge

A newly-formed multi-specialty group needed 12 providers enrolled with Medicare, Medicaid, and 8 commercial payers before opening. Their previous billing firm estimated 90+ days — potentially 3 months of zero revenue.

The MedCare Solution

Our credentialing team used a parallel processing approach — simultaneously filing with all payers — while leveraging existing relationships and direct payer contacts to accelerate approvals.

"Credentialing used to take months. MedCare enrolled 12 new providers in under 3 weeks. Their team knows every payer's requirements inside and out."
Dr. Amara Obi, MD
Multi-Specialty Director · Atlanta, GA
🔜 Full Study Coming Soon
🧘 Behavioral Health

Regional Behavioral Health Network Scales Telehealth Billing by 300%

300%
Telehealth billing growth
96%
First-pass claim rate
$890K
Annual revenue increase
The Challenge

A 35-provider behavioral health network expanded telehealth services post-pandemic but their billing team had no experience with telehealth-specific CPT codes, POS designations, or payer telehealth policies.

The MedCare Solution

We deployed behavioral health telehealth billing specialists, built custom payer rule sets for 22 commercial and government payers, and trained the clinical team on documentation requirements.

"MedCare transformed our telehealth billing in 90 days. We went from constantly confused to completely confident about our billing. The revenue increase spoke for itself."
Patricia Nguyen, CFO
Regional Behavioral Health Network · Phoenix, AZ
🔜 Full Study Coming Soon

On-demand recordings and upcoming live sessions from our billing experts and industry leaders.

🛡️ ● Recorded
📅 September 10, 2026

Denial Management Masterclass: From 18% to 4% Denial Rate

A step-by-step walkthrough of the exact denial management process MedCare uses to cut denial rates by 78% — with real payer appeal letters shown.

Linda Vasquez, CPC & Marcus Thompson, CPA
⏱ 62 minutes
📋 ● Recorded
📅 August 28, 2026

ICD-11 Transition: Practical Preparation for Every Practice Size

What ICD-11 means for your coding workflows, documentation requirements, and billing systems. Includes a live Q&A with our Chief Coding Officer.

Linda Vasquez, CPC — Chief Coding Officer
⏱ 48 minutes
💻 ● Recorded
📅 August 5, 2026

Telehealth Billing 2026: CPT Codes, POS Rules & Payer Variations

Everything you need to bill telehealth services correctly in 2026. Covers CPT codes 99202–99215, 99421–99423, POS 02 vs. 10, and payer-specific rules.

James Hartwell, MBA — CEO
⏱ 55 minutes
🎓 ● Recorded
📅 July 15, 2026

Credentialing Accelerator: Enroll Providers in Weeks, Not Months

Our credentialing team reveals the exact process that gets providers enrolled with all major payers in 3 weeks or less. Includes CAQH walkthrough.

Priya Nair, RHIA — VP Client Success
⏱ 44 minutes
📝 ● Recorded
📅 June 20, 2026

E/M Coding 2026: New MDM & Documentation Requirements Explained

Line-by-line walkthrough of the updated E/M guidelines with clinical documentation examples for each level — from Office Visit to Critical Care.

Linda Vasquez, CPC
⏱ 71 minutes
🚀
▶
⏰ Upcoming
📅 November 12, 2026 · 2:00 PM CST

The Future of AI in Medical Billing: What's Coming in 2027

Join our CEO James Hartwell and industry leaders to explore how AI will reshape RCM in the next 12 months — and how to prepare your practice now.

James Hartwell, MBA & Guest Experts
⏱ 60 min (live + Q&A) 🔜 Coming Soon

Visual snapshots of key medical billing metrics, workflows, and compliance facts — shareable with your team.

8
Step Process
The Revenue Cycle in 8 Steps
📥 Infographic Download
10
Top Denial Reasons
Why Claims Get Denied (And How to Fix It)
📥 Infographic Download
20+
Key Metrics
Medical Billing KPIs Every Practice Must Track
📥 Infographic Download
75
Compliance Points
HIPAA Compliance Quick Reference Card
📥 Infographic Download
2x
Revenue Difference
In-House vs. Outsourced Billing: By the Numbers
📥 Infographic Download
55K+
ICD-11 Codes
ICD-10 vs. ICD-11: What's Changing
📥 Infographic Download
CPT
+ ICD-10 + HCPCS
Medical Code Types: Which to Use & When
📥 Infographic Download
18
Days Target AR
AR Aging Flowchart: What to Do at Every Stage
📥 Infographic Download

Enter your practice's real numbers and see your projected revenue improvement with MedCare in under 60 seconds.

Your Practice Details

$50K$5M
5%35%
15 days90 days
1100+
50%98%

Your Projected Revenue Improvement

Additional Annual Revenue
$0
vs. your current collections
Denial Recovery (First Year)
$0
claims recovered from current denial rate
AR Days Improvement
0 days faster
target: 18-day average (our benchmark)
New Collection Rate
99%
MedCare's average client collection rate
MedCare Fee (est. 4% of collections)
$0
performance-based — you pay when you collect
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* Estimates based on MedCare's average client outcomes. Actual results vary by specialty, payer mix, and current billing performance. Request a free audit for a personalized analysis.

Ready to Go Beyond the Resources?

Let our billing specialists analyze your actual revenue cycle and show you exactly how much more your practice could collect — for free.

📅 Get Your Free Billing Audit 📞 (210) 660-2772