About the Journal
A Medical Billing Journal exists to make the business side of American healthcare readable. Billing, credentialing, and compliance are full of jargon, opaque payer rules, and processes that seem designed to confuse — and yet every practice lives or dies by how well it navigates them.
We publish practical, plain-English guides on the four disciplines that determine whether a practice gets paid accurately and stays compliant:
The revenue cycle end to end: claims, denials, payments, and the day-to-day mechanics of getting practices paid.
CredentialingGetting providers enrolled and in-network: applications, payer verification, and what actually slows the process down.
RecredentialingKeeping enrollments, licenses, and payer files current so coverage never lapses mid-cycle.
AuditingCompliance reviews, chart audits, and billing audits that catch problems before a payer does.
How we write
Every article is grounded in how the U.S. revenue cycle actually works: what payers verify, what regulations and payer policies require, and where practices most often lose revenue or exposure. We avoid invented statistics and cite payer and regulator requirements directly wherever it matters. When payer rules vary — and they always vary — we say so rather than presenting one plan's policy as universal.
Important disclaimer
Content on this site is general information for practice administrators, billers, and providers. It is not legal, coding, reimbursement, or compliance advice, and it does not create a professional relationship. Payer policies, timelines, and requirements change frequently — always confirm current requirements with the specific payer, contract, or qualified professional before acting.
Start with the fundamentals
New to the revenue cycle? The step-by-step billing guide is the best first read.
Read the billing process guide