The CleanClaimRx Library

31 products. Two series.
Every function of the revenue cycle.

26 operational playbooks. 5 compliance guides. Two complete series bundles. Built for independent practices who want to fix problems, not file documents. Everything here is designed to be put to work immediately.

📚 26 Operational Playbooks • ✅ 5 Compliance Guides • 📦 4 Bundles — save up to $800+
KPI Action Guide
$47 · Available Now

KPI Action Guide — Complete Bundle

The full revenue cycle KPI framework in two volumes. All 15 KPIs — diagnostic triggers, intervention stacks, floor execution guides, and sustained monitoring frameworks. The breadth layer that tells you what to track and what to do when a number is wrong.

✓ Volume I — The 8 KPIs that determine whether you get paid
✓ Volume II — The 7 KPIs that determine how much you keep
✓ 2 instant PDF downloads
Get the Bundle — $47 →
The KPI Prescription Series

One KPI. Full Depth.

Each installment is a standalone deep-dive — diagnostic triggers, root cause analysis, intervention stack, floor execution guide, and sustained monitoring. Buy the one that addresses your biggest problem right now, or get the complete series bundle.
$27 per installment
KPI 01 Denial Rate by Payer Get it — $27 →
KPI 02 Clean Claim Rate Get it — $27 →
KPI 03 Days in AR Get it — $27 →
KPI 04 AR Aging Buckets Get it — $27 →
KPI 05 Point-of-Service Collection Rate Get it — $27 →
KPI 06 Patient Collection Rate Get it — $27 →
KPI 07 Write-Off Rate by Reason Get it — $27 →
KPI 08 Net Collection Rate Get it — $27 →
KPI 09 Charge Lag Get it — $27 →
KPI 10 Cost to Collect Get it — $27 →
Complete Series Bundle — $197 · All 10 installments. Save $73 versus buying individually. The complete KPI diagnostic library in one download.  Get the bundle →
Specialty Companion Guides

Revenue Cycle Intelligence for Your Specialty

Specialty determines your payer mix, your prior authorization burden, your denial profile, and your revenue opportunity profile. The Universal Framework establishes the foundation. Each Specialty Companion Guide applies it to your exact practice environment.
$27 per guide
Start Here
The Universal Framework
The billing intelligence foundation that applies to every specialty — payer mix analysis, universal KPI framework, denial pattern fundamentals, and revenue opportunity audit.
Get it — $27 →
Specialty Guide Primary Care & Family Medicine Get it — $27 →
Specialty Guide Orthopedics Get it — $27 →
Specialty Guide Behavioral Health Get it — $27 →
Specialty Guide OB/Gyn Get it — $27 →
Specialty Guide Cardiology Get it — $27 →
Specialty Guide Oncology Get it — $27 →
Specialty Guide Neurology Get it — $27 →
Specialty Guide Rheumatology Get it — $27 →
Specialty Guide Pediatrics Get it — $27 →
Specialty Guide ENT Get it — $27 →
Specialty Guide Radiology & Laboratory Get it — $27 →
Specialty Guide Geriatrics Get it — $27 →
Complete Bundle — $97 · All 12 specialty guides + the Universal Framework. Designed for billing consultants, practice managers overseeing multiple specialties, and anyone building a complete revenue cycle reference library.  Get the bundle →
Complete Collection Available
All 26 Operational Playbooks — one bundle, one price.
Get the Complete Series — $297 →
The Playbook Series

Operational Depth. Floor-Level Detail.

Each playbook is a complete operational document — not an overview, not a summary. Built for the practice manager, billing director, or owner who needs to rebuild or optimize a specific function of their revenue cycle from the ground up.
$47–$67 per playbook
Playbook Series Front-End Revenue Cycle Registration, eligibility, prior authorization, financial clearance, and charge capture. The back end cannot fix what the front end breaks. Get it — $47 →
Playbook Series Denial Management Root cause analysis, appeal workflows, overturn strategies, and the management discipline that turns denials into recovered revenue. Get it — $47 →
Playbook Series Payer Contract Intelligence How to read, benchmark, negotiate, and manage payer contracts. Your contracts are the ceiling on everything your revenue cycle can achieve. Get it — $67 →
Playbook Series Billing Staff & Outsourcing In-house vs. outsourced decision framework, performance standards, accountability structure, and how to manage billing operations without losing revenue. Get it — $47 →
Playbook Series Practice Financial Intelligence The capstone. Revenue cycle meets financial strategy — connecting billing metrics to net income, cash position, capacity decisions, and practice valuation. Get it — $67 →
Playbook Series Patient Collections Stop sending statements into the void. The complete front-end collection framework — from scheduling through checkout — with scripts, checklists, and a 90-day implementation plan. Get it — $47 →
Playbook Series Charge Capture Audit Find the revenue you earned, documented, and never billed. Six failure point framework, full audit methodology, daily reconciliation process, and 90-day implementation plan. Get it — $47 →
Playbook Series Coding Audit The $50,000–$150,000 problem hiding in your medical records. Complete audit framework, working record-scoring rubrics, compliance risk rating system, and 90-day implementation plan. Get it — $67 →
Playbook Series Prior Authorization Management Prior auth is costing your practice $80,000–$120,000 a year in staff labor alone — before you calculate the revenue that never gets billed. Auth tracking system, peer-to-peer protocol, cost calculation, and payer intelligence framework. Get it — $47 →
Playbook Series New Practice Launch The revenue cycle mistakes that kill new practices happen before the first claim is ever submitted. Credentialing sequence, payer enrollment, cash gap planning, and first claim submission framework. Get it — $47 →
Playbook Series Annual Revenue Cycle Assessment Nine scored domains. Ninety points. The most honest financial document your practice will produce this year — with a prioritized action plan and a direct map to every CleanClaimRx resource that addresses what you find. Get it — $67 →
Playbook Series Payer Rate Negotiation Playbook Your payer knows exactly what your rates are worth. A complete system for benchmarking, building your data package, and securing higher reimbursement — regardless of what your payer tells you at the start. Get it — $57 →
Playbook Series RCM Outsourcing Evaluation Playbook The framework the vendor doesn't want you to have. Vendor evaluation, contract anatomy, KPI requirements, monthly monitoring, and when to bring it back in-house. Get it — $47 →
Playbook Series Value-Based Care Playbook Quality metrics are now revenue. MIPS/MACRA reporting, HCC coding, care gap closure workflows, and value-based contract evaluation for independent practices. Get it — $47 →
Playbook Series Practice Valuation Playbook Know what your practice is worth before someone else decides. Revenue cycle metrics, EBITDA normalization, AR quality, and pre-transaction optimization. Get it — $47 →
Playbook Series Credentialing & Re-Credentialing Playbook You can't bill what you can't credential. Credentialing timelines, CAQH management, re-credentialing deadlines, gap billing rules, and denial prevention. Get it — $47 →
Playbook Series Practice Closure Wind-Down Playbook Close clean. Collect what you're owed. Leave nothing behind. AR wind-down, payer notifications, refund resolution, and the full closure timeline. Get it — $47 →
Playbook Series Billing Department Performance Management Playbook Most billing departments underperform not because of bad staff — but because nobody built a performance system around them. KPIs by role, accountability framework, denial management discipline, and 90-day plan. Get it — $47 →
Playbook Series Medicare Advantage Operational Playbook Medicare Advantage is not Medicare — and that difference is costing you. Prior auth, risk adjustment, RAF coding, care gap closure, RADV audit prep, and MA denial management. Get it — $47 →
Playbook Series Practice Acquisition Revenue Cycle Integration Playbook Revenue cycle is where acquisitions succeed or fail. Due diligence, day-one continuity, payer contract novation, credentialing gaps, AR management, and 90-day integration plan. Get it — $97 →
Playbook Series Provider Compensation Design Playbook Design, evaluate, and defend your provider compensation model. wRVU benchmarks, Stark FMV requirements, commercial reasonableness, incentive structure design, and the comp model audit. Get it — $57 →
Playbook Series Physician Compensation Negotiation Guide Your employer spent months with attorneys building the agreement you're about to sign. This guide closes the gap. wRVU thresholds, total comp evaluation, red flags, and the renegotiation conversation. Get it — $47 →
Playbook Series Telehealth Revenue Cycle Playbook The billing rules changed. Did your workflow? POS codes, modifiers, what's permanent, what expires December 2027, and a compliance audit to recover historical denials. Get it — $47 →
Playbook Series Fee Schedule Optimization Playbook A payer can never pay more than your billed charge. Find the revenue ceiling you set once and never revisited, calculate your loss, and fix it. Get it — $47 →
Playbook Series RCM Technology Buyer's Manual The vendor designed the demo to show you what works. Your job is to find out what doesn't. Vendor evaluation matrix, contract clause checklist, and switching cost calculator. Get it — $47 →
Playbook Series Revenue Cycle Staffing & Compensation Revenue cycle staff are not a cost center. They are a revenue function. National compensation benchmarks, performance metrics by role, incentive compensation frameworks, and a 90-day implementation plan. Get it — $47 →
The Complete Operational Series — $297 · All 26 playbooks. The complete revenue cycle operating manual for independent practices. Save $800+ versus buying individually.  Get the series →

The Compliance Series

Federal billing compliance is not optional — and most independent practices are managing it reactively. These playbooks address the specific compliance obligations that intersect directly with the revenue cycle: the forms, the deadlines, the penalty exposure, and the recovery mechanisms the law provides.
$47–$97 per product
Compliance Series Medicare ABN Compliance Playbook The form nobody completes correctly — and the revenue nobody recovers. Complete ABN compliance framework: mandatory vs. voluntary, CMS-R-131 field-by-field, penalty risk audit, workflow, and ready-to-use template. Get it — $47 →
Compliance Series Compliance Playbook — No Surprises Act (NSA) The federal compliance requirements most independent practices are getting wrong — and the $149-per-violation penalty exposure they don't know they have. Two-track framework: what is enforceable today and what is still coming. Get it — $47 →
Compliance Series Independent Dispute Resolution (IDR) Playbook Providers win 80% of federal IDR disputes. Most independent practices don't know the process exists. Complete IDR strategy: eligibility, QPA, statutory factors, submission framework, ROI calculation, and claim batching. Get it — $67 →
Compliance Series HIPAA Privacy & Security for Billing Playbook HIPAA violations in billing aren't hypothetical. BAAs, access controls, breach notification, collections compliance, and the 10-question audit. Get it — $47 →
Compliance Series Stark Law & Anti-Kickback Awareness Playbook A single Stark Law violation can cost $15,000 per claim. Fair market value requirements, commercial reasonableness, safe harbors, and the self-referral disclosure protocol. Get it — $47 →
Federal Billing Compliance Bundle — $77 · Medicare ABN + NSA Compliance. Two federal compliance obligations in one bundle. Save $17 versus buying individually.  Get the bundle →
No Surprises Act Complete Kit — $97 · NSA Compliance + IDR Playbook. The compliance you owe and the revenue you're leaving behind — in one kit.  Get the kit →
Full Compliance Series — $147 · All 5 compliance playbooks. ABN + NSA + IDR + HIPAA + Stark Law. Combined value $255. Save $108.  Get the series →

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