The Revenue Cycle Blog
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Denial Trends in 2026: What Healthcare Providers Need to Prepare For
Denial rates are rising, and 2026 brings even tougher challenges for healthcare providers. With payer AI audits, stricter documentation standards, and new CMS prior authorization rules, practices of every size face higher rejection risks. This blog explores the top denial trends shaping 2026, practical steps providers can take now, and how strategies should adapt depending on practice size.
Top 10 Signs Your Practice Needs Denials Management Services
Denials Management Services help practices lower claim denials, recover lost revenue, and strengthen the revenue cycle—here are 10 warning signs your practice may need them.
Top 10 Denials in Medical Billing That Most Clinics Still Overlook
The Top 10 Denials in Medical Billing often come from overlooked details that disrupt payments. This blog explains hidden rejection reasons—like NPI mismatches, POS errors, and benefit exhaustion—and how clinics can prevent them.
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.
Top RCM Denial Management Strategies Used by Leading OB/GYN Billing Companies
Top 6 RCM Denial Management strategies used by leading OB/GYN billing companies — see how coding, documentation, tracking, and appeals reduce denials.
The Timely Filing Tightrope: Don’t Let Your Claims Expire
Timely filing may seem like a small compliance step, but missing payer deadlines can permanently erase revenue. This blog explains why claims expire, the true cost of timely filing denials, and the practical workflows every provider needs.
Top 5 Reasons for Clinical Denials and How to Address Them
Clinical denials drain billions from healthcare each year, often due to preventable errors. From lack of medical necessity to documentation gaps and authorization issues, small mistakes cause major revenue loss. This guide highlights the top five denial reasons and proven strategies providers can use to prevent denials and protect financial health.
Coding for Skin Biopsies and Excisions: Avoiding Common Denials in Dermatology
Master skin biopsy and excision coding in dermatology. Avoid claim denials with accurate CPT coding, proper modifier use, and strong documentation strategies.
Top 15 Denial Management Solutions to Track Monthly Denial Reasons Effectively
Get insights into 10+ denial management solutions to track monthly denial reasons, reduce claim rejections, and improve outcomes through consistent tracking.
Shifting the Focus from Denial Management to Denial Prevention
The adage, “Prevention is better than cure”, does apply to Claim Denials as well. An effective denial prevention program requires an iterative process that includes identification of root cause, finding solutions to prevent the issue from recurring in the future, the institutionalization of these procedures through updates to standard operating procedures, and training the staff on these practices. In this whitepaper from Medical Billing Wholesalers, we bring you a few steps that you can take to prevent denials.
How Automating Patient Eligibility Reduces Front-End Denials and Speeds Up Claim Approvals
Front-end claim denials drain revenue and slow down reimbursements. This guide explains how automating patient eligibility checks can prevent errors, improve claim success rates, and streamline your healthcare billing process.
The Power of the Payer Contract: Your Key to Underpayment Appeals
Underpayments often go unnoticed but cost providers millions each year. Your payer contract is more than paperwork—it’s a legal tool that can strengthen underpayment appeals, recover lost revenue, and protect your practice’s financial health. This blog breaks down how to use contracts effectively and turn them into a revenue safeguard.
What You Need to Know About OBGYN Medical Billing
OBGYN medical billing is complex, involving global maternity billing, multiple CPT codes, compliance requirements, and payer-specific rules. Errors lead to denials and lost revenue. By streamlining workflows, verifying insurance upfront, and leveraging specialized billing services, practices can reduce rework, improve cash flow, and ensure compliance for long-term financial health.
Case Study: How Billing OB GYN Services Recovered a $21K Denial Successfully
This case study highlights how billing OB GYN providers in Bozeman recovered $21,000 denied claims and reduce revenue loss. with MBW
CO 97 Denial Code: How to Handle Claims Without Losing Revenue
The CO 97 denial code occurs when a billed service is considered part of another already-paid procedure. Learn what causes it, which modifiers to use, and how billing teams can prevent future denials without resubmitting claims.
Billings Clinic Emergency Department Reduced Claim Denials by 64%—Here’s How
See how Billings Clinic Emergency Department reduced claim denials by 64%, cut A/R in half and fixed coding issues with MBW's support.
What is Charge Capture and Why is it So Important?
Charge capture is often overlooked, yet it’s the backbone of healthcare revenue. Every missed charge means lost income, compliance risk, and delayed cash flow. This blog explores why flawless charge capture matters and how optimizing it strengthens both financial health and patient care.
Case Study: Denial Management Service Helps Surgeon Recover $32,000 from a Denied Claim
What happens when a $32K surgery gets denied? This case study reveals how revenue was brought back fast—with Denial Management Service.
The Top 5 Reasons Your Claims Are Being Underpaid (and How to Fix Them)
Underpaid claims drain healthcare revenue. From coding errors to payer mismatches, small mistakes cost providers thousands. Learn the top 5 causes of underpayment—and proven strategies to recover revenue and strengthen your revenue cycle.
Common Eligibility Verification Mistakes (and How to Avoid Them)
From skipped re-verification to poor documentation, eligibility mistakes cost providers revenue and patient trust. Here’s how to prevent denials.