Blog

Field notes on running the back office.

Research and operational notes from the team that runs call center, prior authorization, billing, and revenue cycle for independent practices. Every number on this page is sourced.

Field noteMay 8, 2026

Reading the 2024 denials index: where independent practices are losing the most cash

Initial-claim denial rates crossed 11% on commercial payers. We break down the categories that are driving it and the work that recovers most of the money.

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ResearchApril 24, 2026

The anatomy of a prior authorization cost

What a single prior authorization actually costs an independent practice, in staff time, patient harm, and lost revenue. The number is bigger than most administrators carry on the spreadsheet.

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ResearchApril 11, 2026

Why one in three patient calls goes unanswered, and what it costs

A practice's phone experience is the single biggest predictor of new-patient acquisition and same-day retention. The industry numbers say most practices are losing that battle, badly.

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ResearchMarch 28, 2026

What CMS-0057-F actually changes for practice revenue cycle in 2026

The 7-day standard PA window, the API mandates, and what they mean for the way an independent practice runs eligibility, billing, and AR.

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Field noteMarch 12, 2026

Reading days in A/R: what good looks like by specialty

Days in accounts receivable is the single best summary statistic for revenue-cycle health. The benchmarks vary by specialty more than most administrators expect.

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OperationsFebruary 18, 2026

How we work inside Epic, Athena, eClinicalWorks, and NextGen without slowing your staff down

Notes on staffing inside each major EHR, what changes in our intake, charge entry, and PA workflows depending on the system underneath.

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