Practical guides, industry analysis, and compliance insights from the Rendum team.
Billable day calculation is the single most impactful process in supplemental benefit billing. Get it wrong and you leave money on the table. Get it right and you capture every dollar you're owed. This guide walks through the math, the edge cases, and the payer-specific rules you need to know.
Read articleA member gets terminated in error. You stop billing. Three weeks later, the payer sends a correction. By then you've lost 21 billable days. Multiply that across hundreds of members and you're looking at six figures in lost revenue annually. Here's how to catch and recover from false terminations.
Read articleEvery time you check a member's eligibility, you're handling protected health information. That means HIPAA applies. This article covers the specific HIPAA requirements for eligibility verification workflows, common violations we see in the field, and how to build compliant processes.
Read articleMedicare Advantage supplemental benefits are a $40 billion market growing at 15% annually. Yet the vendors delivering these benefits are still billing with spreadsheets and manual processes built for a fraction of their current volume. The market demands purpose-built billing infrastructure.
Read articlePayer contracts are dense, jargon-heavy, and full of clauses that directly impact your billing. This guide teaches billing operators how to extract the information that matters: billable day definitions, retroactive adjustment windows, file format requirements, and payment terms.
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