Timely filing and appeal deadlines by payer
Filing and appeal deadlines differ by payer, plan and contract.
This guide lists published deadlines for major payers with their sources, why deadlines get missed, and what to do if one was.
For independent practices
Medical billing and revenue cycle resources for independent practices
Practical guidance for physician owners and practice administrators who want a better understanding of what is happening inside their revenue cycle.
We cover medical billing performance, denials, A/R, insurance underpayments, payer issues, billing-company relationships, EHR workflows, and other areas where revenue can get delayed or missed.
The goal is not to make billing more complicated.
It is to help independent practices know what to look for, what questions to ask, and when something deserves a closer look.
Library
Latest resources
Questions to ask a medical billing company before you hire them
Most billing companies sound the same on a sales call.
This guide covers the questions to ask about denials, A/R, underpayments, reporting, pricing, your EHR, and the transition before you sign.
J-code units: the drug billing mistake that can get expensive fast
A drug can be documented correctly and still billed in the wrong units.
This guide explains how HCPCS billing units work, the J-code errors that cause denials and short-pays, and what to check before drug claims go out.
Denied after prior authorization was approved: why it happens and what to do
You got the authorization, and the claim denied anyway.
This guide explains the mismatches behind these denials, the codes you may see, and how to get the claim paid and prevent the next one.
How to know if your medical billing company is underperforming
Collections can look fine while problems build underneath them.
This guide explains what to look at beyond monthly deposits — including aging A/R, unresolved denials, follow-up activity, payment reconciliation, reporting, and recurring billing problems.
How medical practices can identify insurance underpayments
A claim can be paid and still be paid incorrectly.
This guide explains how practices can review remittance and reimbursement information for potential short-pays and why payment accuracy deserves attention alongside denials and unpaid A/R.
How to reduce preventable medical billing denials
Working a denial solves one claim.
Understanding why the same denial keeps coming back can prevent the next one.
This guide explains which denials may be preventable, which require a different type of review, and what practice owners should ask their billing team to show them.
Why is your A/R growing while collections look fine?
The monthly deposits look okay. Then you open the aging report.
Collections tell you what came in. A/R tells you what is still unresolved.
This guide explains how practices spot an A/R backlog hiding behind “good” collections — and what to ask the billing team for.
Topics
Explore revenue cycle topics
Medical billing performance
Learn how to evaluate the work behind your collections and identify warning signs that may not show up on a monthly revenue report.
Denial management
Understand why claims are being denied, what should happen after a denial, and how recurring patterns can be addressed before the next claim is submitted.
A/R recovery
Learn how practices can evaluate aging receivables, prioritize follow-up, and identify accounts that are sitting without a clear next action.
Insurance underpayments
Understand how a claim can be paid but still deserve another look because the reimbursement may not match expectations.
Revenue leakage
Explore the different places earned revenue can be delayed, reduced, written off, or missed across the revenue cycle.
Switching medical billing companies
Learn what to review before changing billing companies, how to protect old A/R, and how to transition without automatically changing your EHR.
Specialty medical billing
Explore billing challenges that vary by specialty, service mix, payer requirements, authorizations, procedures, and reimbursement structure.
EHR and billing workflows
Learn how practices can improve the billing operation around the EHR they already use instead of forcing physicians and staff through unnecessary software changes.
Revenue cycle technology
Understand where technology can help identify patterns and prioritize work — and where experienced billing professionals still need to make the decisions.
Your data
Want a closer look at your own revenue cycle?
Educational guides can tell you what to look for.
Your own billing data tells you whether it is actually happening.
VeroRCM's Free Revenue Leak Audit can review available claims, payments, denials, underpayments, adjustments, and aging A/R to identify areas that may deserve more attention.
You do not have to switch billing companies first.
Start with your own data, then decide whether anything needs to change.