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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.

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

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

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CleanClaimRx · Insider News

Issue Archive

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

Coming Up
Issue 08 · August 20, 2026 · Coming Soon
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.
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Issue 07 · August 6, 2026 · Coming Soon
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.
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Issue 06 · June 23, 2026 · Coming Soon
Timely Filing: The Clock You Can’t Stop (But Can Win)
90-day-old claims are probably gone. But knowing exactly when the clock runs out — and how to stop the bleed before it does — is where the money is. A full tactical breakdown.
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Current Issue
Issue 05 · June 9, 2026 · Latest
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.
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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.
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Past Issues
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.
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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.
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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.
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New issues every two weeks. Subscribe above to get them in your inbox.