The Revenue Cycle Blog

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Podcast: The Weaponization of AI in Revenue Cycle Management

Artificial intelligence is reshaping healthcare billing and revenue cycle management, but it’s also introducing new cybersecurity challenges. In this PracticeCare podcast episode, Vinny Sankaran explores AI-driven fraud, ransomware risks, defensive AI strategies, and how healthcare organizations can strengthen security while modernizing billing operations.

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Medical Billing and Coding Services for Large Practices

Managing billing and coding for large practices requires handling high claim volumes, complex workflows, and frequent denials. This guide explains how Medical Billing and Coding Services for large practices help streamline operations, improve claim flow, and support consistent revenue cycle performance.

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How Credit Balance in RCM Reveals Gaps in ERA, EOB & Ledger Posting

Credit Balance in RCM is more than an overpayment indicator—it reveals gaps across ERA, EOB, and ledger posting workflows. This blog explains how posting errors, reconciliation mismatches, and system delays lead to credit accumulation, and how analyzing these balances helps identify root causes and improve payment posting control.

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Case Study: Recovering $420K Annually from Claim Denials in ASC Billing

MBW RCM partnered with a Texas-based ASC facing a 24% claim denial rate and ongoing revenue loss. By addressing gaps in documentation, modifiers, and authorizations, we implemented a structured denial management approach. This reduced denials to 9% and delivered $420K in annual revenue recovery.

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