Revenue Cycle Management Blog

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Latest Posts

Medical Billing Explained: From Claims to Cash Flow

Medical billing is more than submitting claims and waiting/hoping for payment. Behind every claim is a story: a patient visit...

Latest Efforts to Enforce the No Surprises Act and IDR Process

Insurers are flouting the No Surprises Act’s IDR process—here is how the new Enforcement Act will penalize bad actors and...

Updated Final Rule for Federal IDR Operations Released by CMS 05/28/2026

Executive Summary: Federal IDR Operations Final Rule The Departments of Health and Human Services, Labor, and Treasury, along with the...

Why Surgeons Lose Revenue in the Global Surgical Period (And How to Remedy)

Under the global period of surgical billing, a significant portion of surgical care is bundled into a single payment. That...

Medicare Reimbursement Trends for Allergy and Asthma Practices: A 10-Year Analysis of the Physician Fee Schedule

The Medicare fee schedule is a reliable benchmark for tracking overall reimbursement trends of the insurance industry. To take a...

Current Legal Actions Against Insurance Companies for “Automatic Down-Coding”

Insurance companies are increasingly infuriating providers and the RCM companies that support them by using a shady practice of “automatic...

How Dedicated EMS Billing Teams Outperform General Medical Billing Companies

EMS billing services are fundamentally different from traditional physician billing, and these differences significantly impact your agency’s financial performance. Where...

Orthopedic Modifiers: The Hidden Revenue Risk Costing Practices Thousands

Orthopedic surgery is one of the most modifier-intensive specialties in healthcare — and those modifiers directly determine reimbursement. They are...

Radiology Billing: Why “Good Enough” is No Longer Enough

Radiology has never been simple. But today, it’s more complex—and more financially pressured—than ever. Between declining reimbursement per unit, tighter...

Navigating the 2027 CPT® Maternity Care Overhaul: Implications for OB/GYN and Maternal-Fetal Medicine Revenue Cycle Management

Effective January 1, 2027, the American Medical Association (AMA) is implementing a major restructuring of CPT® coding for maternity care...

Radiology Denial Patterns: The Payer Behaviors That Quietly Drain Imaging Revenue

Stop the slow bleed of radiology claim denials. Learn how to identify payer patterns, reduce revenue leakage, and optimize your...

The IDR Deadline Trap: Why Timing Determines Whether You Get Paid

For many healthcare providers, recovering appropriate reimbursement from insurers is rarely a straightforward process. Even with strong documentation and a...

Navigating the MedPAC March 2026 Report: What Healthcare Practitioners Need to Know

Every March, the healthcare industry eagerly awaits the Medicare Payment Advisory Commission’s (MedPAC) Report to Congress. At Kovo RCM, we...

Switching Orthopedic Billing Companies Doesn’t Have to Disrupt Cash Flow

Orthopedic practices don’t just manage patient care—they manage a complex financial ecosystem. This means juggling high-value procedures, intricate coding, the...

Critical Update for Providers: New 2026 Medicare ABN Form Approved

In the world of Revenue Cycle Management (RCM), small administrative changes can have a big impact on your bottom line...

Switching EMS Billing Vendors Without Losing Revenue

For many EMS agencies, the idea of switching billing vendors feels risky. The fear is simple — What if revenue...

Orthopedic Surgery Billing Is Different: Here’s What Most RCM Companies Miss

Orthopedic practices don’t call us because their surgeons aren’t busy. They call us because their revenue doesn’t match their surgical...

5 Washington Policy Shifts Reshaping Healthcare Revenue and Operations in 2026

Between shifting compliance guidelines, legislative budget cuts, and a deepening workforce crisis, early 2026 is proving to be a volatile...

Why Anesthesia Billing Is Different (and Why Most RCM Vendors Get It Wrong)

Anesthesia billing needs are fundamentally different from traditional medical billing, yet many revenue cycle vendors approach this specialty as they...

The Cost of Slow EMS Billing: How Delayed Claims Starve Cash Flow

When EMS claims sit in a queue for weeks instead of days, the delay quietly drags down cashflow. It’s more...

Bundling, Downcoding, and “Silent” Underpayments in Allergy & Asthma Billing

How Payers Reduce Reimbursement Without Denying the Claim In allergy and asthma billing, not all revenue loss is obvious. Some...

Is Your Medical Practice Losing Revenue? Get a Free Medical Billing Audit from Kovo RCM

Most medical practices don’t realize they’re losing revenue—until cash flow tightens, AR stretches longer than expected, or collections stall without...

Independent Dispute Resolution (IDR): The Revenue Recovery Tool Most Anesthesia Groups Aren’t Using

Most anesthesiology groups don’t leverage one of the most powerful revenue recovery tools available today: Independent Dispute Resolution (IDR). Understanding...

Why Allergy & Immunology Billing Is No Longer a “Simple” Specialty

For many allergy and immunology practices, the belief that billing is “straightforward” can be a costly assumption. What was once...

Medical Credentialing Services: The Revenue Risk Most Practices Overlook

Treating medical credentialing as a ‘set it and forget it’ task is a financial risk. Credentialing services are a critical...

The 2026 Medicare Extenders: What the New Federal Legislation Means for Your Practice

Yesterday, February 3, 2026, President Trump signed the Consolidated Appropriations Act, 2026 into law. While the major national headlines focused...

Are Underpayments Eroding Your Practice’s Margins?

Many providers assume that if a claim is processed, the payment amount is correct. Don’t make that mistake. It’s surprisingly...

The Anesthesia Revenue Gap: Why Clinical Excellence Doesn’t Guarantee Financial Health

Where Anesthesia Revenue Quietly Disappears — And Why Most Practices Don’t Even Realize It Every year, anesthesiology practices lose millions...

CMS 2026 Ambulance Fee Schedule: What It Means for EMS Providers

As healthcare policy continues to evolve, EMS agencies and pre-hospital care providers face both opportunities and challenges under the 2026...

Start 2026 Strong: Your New Year Revenue Cycle Checklist

The beginning of a new year is one of the most critical times for your revenue cycle. Insurance policy changes...

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