The Revenue Cycle Blog
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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 Practices
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.
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.
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.
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.
Top 5 Common Medical Billing Denial Codes and How to Fix Them
Learn proven strategies to reduce claim denials, improve billing accuracy, and strengthen denial management in healthcare. Read more to discover how Medical Billing Wholesalers can help your practice secure faster payments and minimize rejections.
How Medical Practices Can Improve Accounts Receivable Management Services?
Handling accounts receivable properly helps medical practices avoid delayed payments and claim issues. Explore five simple methods to ensure timely reimbursements, improve patient payment rates, and strengthen revenue tracking.
A Case Reports in Cardiology: 15% Drop in Denials and 67% Faster Appeals
Read a Case Reports in Cardiology billing on how we achieved a 15% drop in claim denials and a 67% boost in appeal resolution.
What is Denial Management in Healthcare?
Did you know denial management in healthcare is essential for optimizing revenue cycles? It identifies issues, streamlines processes, and boosts cash flow.
10 Reasons for Medical Claim Denials & Prevention
Learn the top 10 reasons for medical claim denials and how to prevent them. Improve your billing and reduce claim rejections.
Case Study: Physician Education helps resolve BMI Diagnosis Claim Denials of over $37 K
Many Primary Care Physicians lose money because of lack of understanding of payer specific claims submission guidelines. Educating physicians on their documentation responsibilities is an iterative process, that requires an understanding of the reasons for claim denials, ability to nail-down the issues that are causing the denials, determining the corrective actions, and hosting timely sessions between the denials team and the physicians to discuss them.
Case Study: Correct Coding and Electronic Submission of Podiatry Claims reduce denials by 23% and improves collection by 25%
Bad quality scanning of superbills and lack of adoption of electronic claims submission creates a charge backlog situation and consequently, result in increased denials on account to timely filing dates not being adhered to. Read this case study about how our structured approach, technical expertise, and revenue cycle rigor combine to create value for our client.
Case Study: Improved Revenue Cycle Workflow and reporting functionality accelerates Cash Flow
Most revenue cycle systems have a wealth of unutilized functionality. Revenue cycle professionals need to evaluate workflow and reporting functionality on the revenue cycle system to not only ease their workload but also improve revenue cycle outcomes. Read more in this case study.
Case Study: Addressing Notice of Levy issues to Improve Reimbursements
Notice of Levy issues may be wrongly construed to be claim denials if a thorough investigation is not done to understand the reason behind such cases. Further, it is imperative that physicians pay their taxes on time. By educating physicians/practice teams on the importance of filing taxes, an artificial surge in denials on account of notice of levy cases can be avoided.
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.