What kind of challenges do these case studies address?

Our case studies highlight real-world challenges faced by healthcare providers, such as high claim denial rates, inefficient credentialing processes, delayed patient registration, sub-optimal coding, and difficulties in recovering underpayments, across various specialties including OB/GYN, general surgery, NICU, ED, ABA therapy, anesthesia, and radiology.

How do MBW RCM's best practices help improve revenue cycles?

MBW RCM applies industry best practices in medical billing, coding, accounts receivable management, and denial resolution. This includes proactive documentation fixes, systematic root-cause analysis for denials, improved credentialing efficiency, and expert claim recovery strategies, leading to higher reimbursement rates and faster collections.

Are there case studies specific to certain medical specialties?

Yes, our collection includes case studies tailored to various medical specialties such as OB/GYN, General Surgery, Neonatal Intensive Care Unit (NICU) billing, Emergency Department (ED), ABA Therapy, Anesthesia, and Radiology. These demonstrate our specialized expertise across diverse healthcare fields.

Do these case studies include measurable results and outcomes?

Absolutely. Each case study details the specific problem, the solution implemented by MBW RCM, and the quantifiable results achieved by our clients. Examples include significant reductions in denial rates (e.g., 76% for OB practice, 64% for ED), boosted revenue (e.g., $400K annually for OB), and improved compliance (e.g., 98% CAQH attestation compliance).

How can I learn more from these case studies?

You can read the full details of each case study by clicking on the 'Read More' link provided under each summary. These provide in-depth insights into the methodologies and outcomes of our revenue cycle transformation projects.

What is credentialing efficiency and why is it important?

Credentialing efficiency refers to the streamlined and accurate process of enrolling healthcare providers with insurance payers. It's crucial because inefficient credentialing can lead to significant claim denials and delayed reimbursements, impacting a practice's revenue flow. Our case studies demonstrate how improving this process leads to faster enrollments and reduced denials.

How does MBW RCM help with denial management for complex claims?

MBW RCM specializes in complex denial management. Our experts conduct thorough analyses to identify root causes, correct errors in documentation or coding, and aggressively appeal denied claims. Our case studies illustrate successful recoveries for high-value and complex denials, such as a $21K OB/GYN claim and a $28,700 NICU claim.

How does MBW RCM ensure compliance with evolving healthcare regulations?

MBW RCM maintains a dedicated compliance team that continuously monitors changes in healthcare regulations, payer-specific business rules, and coding guidelines. This proactive approach ensures that all billing and coding processes are compliant, minimizing risks of audits and denials for our clients.

Can MBW RCM assist with front-end revenue cycle optimization?

Yes, our case studies often highlight improvements in front-end revenue cycle processes. This includes optimizing patient registration, enhancing eligibility and benefits verification, and improving point-of-service collections to prevent issues before claims are even submitted, leading to a healthier revenue cycle from the start.

What is the typical timeframe for seeing results from MBW RCM's interventions?

The timeframe for seeing results can vary depending on the complexity of the challenges and the scope of services. However, many of our case studies demonstrate significant improvements in key performance indicators like denial rates and A/R days within a few months, often within 90 days, showcasing our efficient and impactful interventions.

Case Studies.

See our best practices in action. Read about the experiences of our healthcare clients.

Revenue Cycle Transformation Case Studies

Read and learn from the experience of our clients as we apply best practices for billing, coding, accounts receivable, and denial management to help them achieve market-leading revenue cycle benchmarks. For most healthcare organizations, it can be difficult to keep up with the changes in healthcare regulations, payer-specific business rules, and develop responses to these changes to transform their revenue cycle. Our clients get access to these best practices along with our mature global delivery model.

Explore tips and strategies on how to improve front-end collections, transform your front-office processes, eliminate revenue leakage through improved medical coding, reduce denials through systematic correction of the root-causes, reduce out-of-network denials through improved credentialing, and more…

Featured

Case Study: Optimizing Collections for an ABA Therapy Practice

An ABA therapy practice achieved a 41.6% increase in collections by optimizing its billing process, eliminating duplicate denials, and aligning with Tricare requirements. Learn how streamlined workflows and payer-specific compliance drove measurable financial gains.

Case Study: Improving Reimbursement Accuracy Through Comprehensive Oncology Documentation

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.

Case Study: How We Recovered 45% Revenue for a Gastroenterology Practice

A gastroenterology clinic recovered 45% of lost revenue after fixing payment posting issues and streamlining its medical billing process.

Case Study: Neurology Practice Claimed $389K and Reduced Denials by 54%

A neurology clinic was losing revenue due to billing and denial issues. Learn how fixing coding errors and claim follow-ups led to a $389K recovery.

Mental Health Clinic Resolves Payment Posting Backlogs, Adds $198K in Revenue

A mental health clinic had over $198K in missing revenue due to untracked payments and billing backlogs. Find out what went wrong—and how it was fixed.

Case Study: Reducing Pediatric Days in A/R From 45 to 34: What Made the Difference

A pediatric clinic reduced A/R days from 45 to 34 by addressing billing inefficiencies—this case study breaks down what changed and why it worked.

Case Study: Recovering $120K by Fixing Coding Errors in Plastic Surgery Billing

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 with Documentation Fixes

Ohio OB practice cut ultrasound claim errors by 76% and boosted revenue by $33K/month through better documentation and provider education.

Case Study: Improving Credentialing Efficiency through CAQH Attestation

A Virginia-based healthcare group improved credentialing and reduced denials by tracking CAQH attestations—achieving 98% compliance and faster enrollments.