- Insights
Blogs & Resources
Expert insights on healthcare operations, revenue cycle management, medical coding, and compliance.
Legal
It arrived as a budget trailer bill, so it moved through the budget process rather than the ordinary policy committee route, and it makes the largest change to the Subsequent Injuries Benefits Trust Fund in decades. It adds Labor Code sections 4750, 4754.1, 4754.2, 4754.3, 4757, and 4758, amends sections 4751, 4753, 4753.5, 4754, and 4755, and makes the 60-day reconsideration rule in section 5909 permanent.
Revenue Cycle
Revenue cycle management (RCM) is the financial process healthcare providers use to track a patient's care from the first appointment to the final payment. It covers visit capture, insurance eligibility, coding, claim submission, payment posting, denial management, and reconciliation. Run as one connected cycle, it decides how much of the revenue a practice earns actually gets collected.
Legal
A fast chronology and an accurate one are always different. For TPAs, the difference shows up on the reserve line long before it ever shows up on an invoice.
Legal
WC examiners rate the paperwork, not the injury. The applicant attorney's medical record review checklist for QME and IME exams, and why it moves awards.
Legal
Most medical record reviews are built for the plaintiff's demand letter, which means it glides right past the facts that a defense file is won. Here are the seven gaps that inflate reserves, and how to catch them before the demand lands.
Legal
Find the prior injury, the pre-existing condition, and the intervening event before the IME, so your examiner can apportion what the file actually proves.
Legal
95% of PI cases settle before trial, but settlement value depends on how well you present medical evidence. Discover how medical chronologies transform raw records into strategic legal tools.
Revenue Cycle
Why medical insurance claims get denied, and how providers can fix it. The average denial rate is 10–20% — each one represents lost revenue and a systemic problem that can be prevented.
Legal
95% of PI cases settle before trial—but settlement value depends on how well you present medical evidence. Discover how medical chronologies transform raw records into strategic legal tools.
