FQHCs at the Crossroads: Mission-Driven, Financially Squeezed Federally Qualified Health Centers (FQHCs) treat more than 31 million Americans annually. FQHCs offer medical, dental, behavioral health, and pharmacy care to low-income and uninsured patients. But while playing such a vital role, the majority of them struggle with razor-thin margins, enjoying an average of only 1–3% profit. […]
Reclaiming Revenue in FQHC and Community Health Billing Read More »
An Invisible Problem with Real Financial Consequences Anesthesia billing doesn’t fall apart in obvious ways. It fails quietly through missing minutes, unchecked modifiers, and documentation that can’t withstand payer scrutiny. Every missed time unit? Every incorrect QX or QZ? They don’t just delay payments they subtract from your bottom line. At Scionis RCM, we’ve seen
Time Matters – Why Anesthesia Billing Keeps Missing the Mark Read More »
Behavioral health revenue cycle challenges aren’t new but they’ve never been this broken. Clinics and mental health providers are navigating a system designed to fail them: bundled payments with unclear rules, Medicaid plans with state-by-state inconsistency, and a prior auth process so sluggish it delays care and stalls cash flow. The result? Thousands of dollars
How to Fix Behavioral Health Billing Failures – Medicaid Denials and Prior Auth Delays Read More »
Where Are Your Millions Stuck? If your finance or HIM leadership team is reviewing aging DNFB numbers without a plan to cut them down then you’re likely sitting on unreleased revenue. We’ve seen hospitals hold more than $6 million in unbilled claims simply because discharge coding workflows were broken or buried in internal silos. Charts
The A/R Trap – Why Community Health Centers Struggle to Collect What They Earn Read More »
When Imaging Moves Fast, but Revenue Moves Slow Radiology is one of the highest-throughput service lines in healthcare but the revenue cycle often lags days, even weeks, behind. Orders get lost in translation, CPTs get dropped during transmission, and coders aren’t always aligned to the modality they’re coding. You don’t need another platform. You need
Fixing the Radiology Revenue Flow – One Chart at a Time Read More »
When Surgical Precision Meets Billing Blind Spots Orthopedic surgery is precise. Billing for it? Not so much. Across ambulatory surgery centers, ortho practices, and specialty hospitals, the same pattern shows up: surgical procedures are performed, implants are used, but the billing capture falls short. And unlike a clinical error, the missed revenue doesn’t trigger alarms
Orthopedic RCM – Where Revenue Leaks Start and How to Stop Them Read More »
