The challenges faced by experienced RCM leaders and medical billers are nuanced, systematic, and often subtle. Why do key metrics diverge? Why does cash flow stall despite strong performance indicators? How can persistent bottlenecks be fully eliminated?

We break down eight high-impact operational questions that directly address these challenges.

Medical billing enrollments and provider credentialing almost never get the spotlight, but they are the starting point for revenue collection. Without completed payer enrollment, claims can’t be submitted, reimbursement can’t begin, and providers can’t generate income.

If your team struggles with the fundamentals of medical billing, you’re not getting clean, paid claims. One potential solution is to swap billing software, searching for the one that will finally “fix” things. Usually, it’s the process and the training that are broken.

Here’s the journey every claim takes from start to finish, and why knowing the difference between a rejected claim and a denied claim is critical for billers and practice managers.

Open Practice Solutions, LTD announced today that it has been awarded the Fall 2025 Top Performer Award by SourceForge. To win, OpenPM had to receive enough high-rated user reviews to place the winning product in the top 10% of favorably reviewed products.

Here’s the real question: is your data helping you make smarter decisions, or is it just a lot of numbers in a spreadsheet? That’s where data analytics in healthcare (and a little business intelligence magic) comes in.