The RCM Mistake 80% of Practices Still Make

 

Most Practices Only Address Denials After It’s Too Late 

In 2025, over 80% of healthcare practices still struggle with the same critical error: ineffective denial management and A/R follow-up. Whether you're running a specialty clinic or a multi-location group, delayed verifications, inaccurate coding, and missed follow-ups create hidden revenue leakage every month.

What’s the Real Cost of Denial Mismanagement? 📉

  • 5–10% of revenue lost per month

  • Longer A/R cycles (often 90+ days)

  • Increased operational strain on billing teams

  • More rework for front desk, coders, and providers

✅3 Quick Fixes to Reduce Your Denial Rate 

1. Verify eligibility before every visit

Ensure the patient’s insurance is active and covers the planned services. Catching issues early prevents claim rejections due to coverage lapses or plan limitations.

👉 Learn How to Verify Coverage the Right Way

2. Invest in certified coding & clean charge entry.

Proper medical coding and timely charge input ensure claims are compliant and complete, reducing the chances of denial due to coding errors or missing information.

👉 Read Our Blog to Reduce Denials With Better Charge Entry

3. Track denial reasons monthly and respond within payer timelines.

Monitor denial patterns regularly and act quickly on appeals. Timely follow-up ensures you don’t miss payer deadlines—and helps identify recurring issues to fix at the source.

👉  Visit the blog to turn rejections into revenue

Reclaiming $21K: How OB-GYN Billing Got It Right

An OB‑GYN clinic in Bozeman partnered with MBW to overturn a $21,000 denial for a high-risk cesarean claim. Within 45 days, the claim was successfully paid. MBW RCM intervention led to a 45% drop in OB claim denials, a 62% faster appeal turnaround, and an 89% first-pass approval rate.

👉Read the Full Case Study Here

🔍 Why MBW RCM Fixes What Others Miss

Our Full-Spectrum RCM Approach:

1. Patient Access: Eligibility checks, benefit verification, authorizations
2. Mid-Cycle Services: CPT/ICD-10 coding, documentation audits, charge capture
3. Back-End Operations: Denials, A/R follow-up, payment posting, underpayment reviews
4. Transformation Services: Analytics, credentialing, provider enrollment, HCC coding

📞 Book a Revenue Cycle Audit with Us

Let us show you exactly where your revenue is leaking — and how to recover it.
✅ Personalized analysis of your claim lifecycle
✅ Denial trends & root cause breakdown
✅ Fix recommendations from our certified experts

👉 Schedule Your Free Consult Now

🏆 Trusted by 70+ clients across 40+ specialties
🌍 US-based compliance + offshore scalability from India


Medical Billing Company

About MBW RCM

MBW RCM provides business process outsourcing, revenue cycle KPI measurement, and robotic process automation tools. The company operates from 5 delivery centers in Chennai and Bangalore and has sales offices in New York, Dallas, Fort Lauderdale, Las Vegas, and Nashville. Through our clients, we support over 2,000 physicians across over 20 medical specialties and uses over 15 EMR/practice management systems today.
The company applies proprietary workflow tools, and robotic process automation capabilities to help clients do more with the revenue cycle.

 

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Our mailing address is:
MBW RCM,
https://www.mbwrcm.com/
info@mbwrcm.com | +1 (718) 249 2245

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