Home About Tools Library Insider News Insider Pulse Automation

Free Newsletter

Revenue cycle intelligence.
Every other week, plus a monthly briefing. Always free.

The Insider News is written for independent billers and practice managers who need to stay sharp without wading through noise.

Join the CleanClaimRx Insider

Insider News every other Thursday, plus the Insider Pulse on the 1st of each month.

First Name

Email Address

Something went wrong. Please try again or email us at learn@cleanclaimrx.com.

No spam. Unsubscribe any time. Your email stays with us.

✓

You’re in!

Check your inbox — your welcome email is on its way. Welcome to the CleanClaimRx community.

What's inside every issue

🎯

One revenue cycle topic

Each issue goes deep on a single issue — denial patterns, credentialing gaps, coding changes, payer behavior — not a surface-level roundup.

⚡

Actionable, not theoretical

Written for people who bill and manage practices. Every issue includes something you can implement this week.

📋

Real-world context

Not academic. Not consultant-speak. The kind of insight that comes from people who've lived inside the revenue cycle.

🔒

Free. Always.

The Insider News is free. No paywall, no trial, no credit card. Just practical intelligence, every other week, plus a monthly briefing.

CleanClaimRx · Insider News

Newsletter Archive

Bi-weekly revenue cycle intelligence for independent practice billers and practice managers. Every issue goes deep on one topic — practical, implementable, and free.

Up Next · Subscribe, Don’t Miss Out

ISSUE 14 · OCTOBER 29, 2026 · COMING SOON

Coming soon

The next Insider News is in preparation. Subscribe to get it in your inbox.

🔒

Currently Trending

ISSUE 13 · OCTOBER 15, 2026 · LATEST

Go Get Your Money: The Q4 Revenue Sprint

The Q4 revenue window is closing. Four things to do right now before December 31 closes the book.

Knowledge Archive

Issue 12 · September 17, 2026

October 1 Is Days Away. Are Your Codes Ready?

ICD-10 updates go live October 1. Claims with old codes will deny on day one. Here’s the pre-flight checklist your billing team needs right now.

Issue 11 · September 3, 2026

PA Denial Appeals: The Step Most Practices Skip Entirely

Prior auth denials feel final. They’re not. Here’s the appeal process, the documentation standard, and why most PA appeals succeed when they’re filed correctly.

Issue 10 · August 20, 2026

Payer Underpayments Are Not Denials. That’s Why You’re Missing Them.

3-7% of total reimbursement is paid below contracted rates in practices that don’t audit payment accuracy. Here’s how to find it and recover it.

Issue 09 · August 6, 2026

Denied Claims Nobody Appealed: The $20K/Month Math Most Practices Ignore

Payers deny claims knowing most won’t be appealed. At a 70% win rate, most practices are leaving $2,500/month on the table. Here’s the appeal workflow that changes the math.

Issue 08 · July 23, 2026

How to Read an EOB Like a Payer Auditor

Most billers read EOBs to post payments. Payer auditors read them to find money. 5 things to check on every EOB before you post — starting with CO-45.

Issue 07 · July 9, 2026

PA Rules Changed. Here’s Your New Workflow.

CMS finalized new PA response timelines — 72 hours urgent, 7 days standard. Payers are now on a clock. Here’s how to update your workflow to use that leverage.

Issue 06 · June 23, 2026

The Timely Filing Clock: What It Is, When It Runs Out, and How to Stop the Bleed

The most common reason a legitimate claim becomes permanently uncollectable isn’t coding error — it ran out of time. Full tactical breakdown: where the exposure hides, and how to stop the bleed before it starts.

Issue 05 · June 9, 2026

Federal IDR: What’s Actually Changing

Providers win 80% of Federal IDR disputes. Most independent practices aren’t filing. Here’s where the process stands, what the QPA litigation means right now, and your action item this week.

Issue 04 · May 12, 2026

Today Is the Day

CMS’s updated ABN form (CMS-R-131) became mandatory on May 12, 2026. The old form is now void. Any practice using the previous version cannot bill the patient for non-covered services. Here’s the update, what it means, and what to do right now.

Issue 03 · April 28, 2026

The Patient Balance Conversation Nobody Has

Point-of-service collection is the highest-yield move in your revenue cycle. Practices with a working POS collection program run 60–80% collection rates on patient responsibility. Most practices are running 34%. Here’s the difference.

Issue 02 · April 14, 2026

Your Payer Sent You a Letter. You Filed It. That Was Your Consent.

The unilateral amendment clause is in almost every commercial payer contract. Most billing managers have never heard of it. Here’s how it works, what it costs, and how to stop it from happening again.

Issue 01 · March 31, 2026

Your Billing Software Isn’t Broken. Your Configuration Is.

Three billing software configuration gaps costing independent practices real revenue — denial queues set wrong, write-off thresholds too low, and eligibility verification timing that guarantees surprises at checkout.

New issues every two weeks. Subscribe above to get them in your inbox.