What a 98% Clean Claim Rate Actually Looks Like in Practice
Summary Discover what it takes to achieve a 98% clean claim rate in medical billing. This guide explains eligibility verification, claim scrubbing, rejection tracking, and workflow improvements that reduce denials, accelerate reimbursements, and strengthen revenue cycle performance with Synergy HCLS. Book a Free Consultation Today! Most practice managers are familiar with the phrase 98% clean […]
Why Medical Billing Denials Are Increasing in 2026
Summary Medical billing denials are rising in 2026 due to stricter prior authorization rules, AI-driven claim reviews, updated coding requirements, and Medicaid eligibility changes. This guide explains the key reasons behind increasing denials and how Synergy HCLS helps reduce rejections through proactive billing workflows. Book a Free Consultation Today! Medical billing denial rates didn’t rise […]
Behavioral Health Billing: Why Session Caps and Auth Renewals Break More Claims Than Coding Errors
Summary Behavioral health claim denials are more often caused by session caps and expired authorizations than coding mistakes. This guide explains common authorization challenges, telehealth considerations, appeal strategies, and how Synergy HCLS helps practices reduce denials and improve revenue cycle performance. Book a Free Consultation Today! Look at the denial reports for almost any behavioral […]
Radiation oncology billing in 2026: what episode-based payment actually means right now
Summary Radiation oncology billing remains fee-for-service under Medicare in 2026, despite ongoing discussions around episode-based payment. This guide explains the latest CPT code changes, ROCR legislation, common billing mistakes, reimbursement updates, and practical steps to strengthen revenue cycle performance. Book a Free Consultation Today! Many radiation oncology practices believe Medicare has already shifted to an […]
Denial Management in 2026: The Top 10 Codes and the Appeal Playbook for Each
Summary Learn the top 10 medical billing denial codes in 2026 and the best appeal strategy for each. This guide explains common denial reasons, effective correction and appeal playbooks, Medicare appeal timelines, and proven denial prevention practices to improve claim reimbursement and revenue cycle performance. Book a Free Consultation Today! Denial management consumes a significant […]
Outsourcing Medical Billing: What to Expect in the First 90 Days
Summary Outsourcing medical billing is easier with a structured transition. Learn what happens during the first 90 days, including onboarding, parallel claim processing, legacy AR cleanup, and performance tracking. Discover how Synergy HCLS helps practices maintain cash flow and improve billing performance. Book a Free Consultation Today! The biggest concern practices have about outsourcing medical […]
Medical Billing KPIs Every Practice Manager Should Track in 2026
Summary Learn the most important medical billing KPIs to monitor in 2026, including AR days, clean claim rate, denial rate, net collection rate, and more. Compare industry benchmarks and discover how Synergy HCLS helps healthcare practices improve revenue cycle performance and collections. Book a Free Consultation Today! Many healthcare practices only review their billing performance […]
Underpayments vs. Denials: Which One Is Draining Your Practice More?
Summary Underpayments and claim denials both impact healthcare revenue, but underpayments often cause greater long-term losses because they remain hidden within paid claims. Learn the key differences, financial impact, industry benchmarks, and proven strategies to identify, manage, and recover lost revenue through denial management and payer contract audits. Book a Free Consultation Today! Most healthcare […]
In-House Medical Billing Is Costing You More Than You Think
Summary In-house medical billing often costs more than practices realize due to staff salaries, benefits, software, claim denials, turnover, and compliance risks. This article explores the hidden expenses of internal billing and how partnering with Synergy HCLS can improve collections, reduce AR days, and lower overall revenue cycle management costs. Book a Free Consultation Today! […]