What Was Causing 1 in 4 Cardiology Imaging Claims to Be Delayed?
A growing cardiology imaging program was performing more studies than ever, yet reimbursements continued to lag. This case study reveals how authorization mismatches, medical necessity reviews, and payer workflow bottlenecks caused nearly 25% of imaging claims to be delayed—and how targeted revenue cycle interventions helped recover over $500,000 while reducing payment delays by 64%.
Case Study: Increasing RAF Accuracy by 18% for HCC Coding Review
A Medicare Advantage provider with 25,000+ members improved RAF accuracy by 18% through retrospective HCC coding reviews, provider education, and ongoing coding audits. The initiative also increased HCC capture rates by 14% and reduced coding discrepancies by 35%.
Reducing RADV Audit Risk Through Comprehensive HCC
A Medicare Advantage physician network facing significant RADV audit exposure improved HCC coding accuracy from 82% to 96% through comprehensive coding audits, provider education, and documentation improvements.
How a Hospital Identified $487,000 in Lost Revenue
A detailed case study showing how a hospital improved collections, reduced denials, and recovered nearly half a million dollars through strategic general surgery billing improvements.
Resolving Ophthalmology NPI/TIN Mismatches to Prevent
An ophthalmology practice in New York faced major reimbursement issues when incorrect NPI/TIN setup caused in-network claims to process as out-of-network. MBW RCM identified the mismatch, corrected the provider configuration, and helped the practice prevent further revenue loss.
Eliminating $151,695 in Coding-Related Denials
A South Dakota ophthalmology practice faced $151,695 in coding-related denials due to modifier errors, incorrect CPT/ICD pairings, and NDC discrepancies. MBW RCM corrected the coding issues, appealed denied claims, and helped the practice recover significant revenue.
Improving Reimbursement Accuracy
See how we helped an Illinois oncology practice cut denials 15% and increase monthly collections by $11,800. Schedule your consultation today.
Case Study: Preventing Oncology Denials with Smarter Coding Practices
An oncology practice was struggling with frequent medical necessity denials, missing documentation, and incorrect modifier use. By adopting smarter coding practices, targeted training, and pre-bill audits, denials were reduced by 75%, first-pass payments improved, and lost revenue was recovered.
Recovering $120K by Fixing Coding Errors in Plastic
See how one plastic surgery clinic recovered $120K in missed revenue—learn what was wrong, what we fixed, and how fast the results followed.
How We Helped an OB Practice Recover $400K Annually
Ohio OB practice cut ultrasound claim errors by 76% and boosted revenue by $33K/month through better documentation and provider education.