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Seven Red Flags Hiding in Your Managed Care Contracts

Seven Red Flags Hiding in Your Managed Care Contracts

by Jason Farmer | Aug 1, 2026 | Revenue Cycle

Most payer contracts get read once, signed, and filed. The boilerplate inside quietly sets your rates, your risk, and your leverage for years. Key TakeawaysRead the amendment, recoupment, and termination clauses before the fee schedule, because that is where the risk...
Yes, You Can Negotiate With Payers. Here’s How Small Practices Do It.

Yes, You Can Negotiate With Payers. Here’s How Small Practices Do It.

by Jason Farmer | Feb 28, 2026 | Revenue Cycle

Most independent groups accept the fee schedule they were handed years ago and never ask again. Payers count on that. A data-backed request, aimed at the right contract, works more often than most owners believe. Key TakeawaysMany practices run on payer contracts...
Claim Denials Are Quietly Taxing Your Practice. Here’s the Fix.

Claim Denials Are Quietly Taxing Your Practice. Here’s the Fix.

by Jason Farmer | Mar 23, 2025 | Revenue Cycle

Denials rarely arrive as a crisis. They arrive as a steady leak that your team has learned to accept as the cost of doing business. It isn’t. Most of it is preventable, and the rest is winnable. Key TakeawaysInitial denial rates climbed to 11.81 percent in 2024,...
Point-of-Service Collections: The Money Your Practice Leaves at the Front Desk

Point-of-Service Collections: The Money Your Practice Leaves at the Front Desk

by Jason Farmer | Jan 9, 2025 | Revenue Cycle

The same dollar is worth ninety cents at check-in and forty cents in a mailed statement. Every practice knows this in the abstract. Few have built the system that acts on it. Key TakeawaysBalances collected at the time of service succeed 90 to 95 percent of the time;...
Days in A/R, Net Collection Rate, and the Other Numbers That Run Your Practice

Days in A/R, Net Collection Rate, and the Other Numbers That Run Your Practice

by Jason Farmer | Dec 30, 2024 | Revenue Cycle

You cannot manage what nobody measures. A handful of metrics, reviewed monthly, tell you nearly everything about the health of your revenue cycle. Key TakeawaysDays in A/R belongs between 30 and 40, with less than 10% of receivables older than 90 days. A net...

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