Author

Kris Pat

Revenue Cycle Management Lead · 24/7 Medical Billing Services

Kris writes on the operational side of the revenue cycle — why claims are denied, how appeals actually get overturned, and what the numbers on an A/R report are really telling a practice. The focus is on what changes collections, not on theory.

Articles by Danny Johnsmith All articles Contact the team

Areas of focus

The subjects Kris covers across the 247MBS library.

Denial management & appeals Categorising denials by root cause rather than by payer, building appeals that survive a second review, and knowing which denials are worth reworking and which are not. Revenue cycle performance Days in A/R, clean-claim rate, net collection rate and first-pass yield — which metrics actually predict cash flow, and which only look busy on a dashboard. Payer & jurisdiction policy Medicare MAC jurisdictions, state Medicaid programs and managed-care arrangements, and how the same procedure is adjudicated differently across them. Credentialing & enrolment Payer enrolment timelines, re-credentialing cycles, and the gaps that quietly stop a provider being paid for work already delivered. A/R recovery Working aged balances by payer and age bucket, and the point at which chasing a balance costs more than it returns. Coding compliance Documentation standards, medical-necessity support and the coding decisions that hold up under audit.

How this content is produced

Articles are written against primary sources — CMS rules, MAC jurisdiction guidance, payer policy bulletins and the current CPT, HCPCS and ICD-10-CM code sets — and are reviewed for accuracy by 247MBS certified coders before publication. Kris writes alongside Danny Johnsmith, RCM Manager.

247 Medical Billing Services has billed for US practices since 2005 and operates under HIPAA and SOC 2 Type II controls. Coding work is performed by AAPC-certified coders. Where an article states a rule, a rate or a deadline, it reflects guidance current at the date shown on the article.

If you spot something that no longer matches current guidance, tell us and we will correct it.