The Revenue Cycle Blog
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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.
"First Pass" Success: How to Submit a Clean Claim Every Time
Clean claims are the backbone of efficient revenue cycle management. By ensuring accurate demographics, payer details, coding, and provider data, practices can cut denial rates, shorten payment cycles, and strengthen cash flow.
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.
The Path to Payment: A Step-by-Step Guide to the Claims Submission Process
The claims submission process is the backbone of healthcare revenue cycle management. This guide breaks down each step to help reduce denials, speed up payments, and protect revenue.
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.
Claim Submission Process in Medical Billing: Complete Step-by-Step Guide
Learn the claim submission process in medical billing with this detailed guide. From coding to follow-up, improve revenue cycle management, ensure
Case Study: Recovering $14.5 million by applying best practices in billing and coding of COVID 19 – Test & Vaccination claims
Our client, a Maryland-based Medical Billing & Coding Company, was challenged with billing & coding for all vaccinations done at an urgent care clinic in North Carolina. The urgent care center had partnered with the North Carolina Department of Health & Human Services, thereby conduction the majority of the Vaccination drives at their care centers. In this case study, we share the best practices applied by our team while billing & coding for COVID-19 vaccination.
Best Practices in filing Physician Assistant Claim enable Recovery of over $80 K in out-of-network claims
Recovering claim dues from payers for physician assistance claims requires intricate knowledge of payer-specific guidelines. Medical Billing Wholesalers’ denials research team helped the client identify and resolve out-of-network claims.
With a focus on recovering denials of PA claims from UHC and Oxford, we rebilled the claims after adhering to the payer-specific guidelines and were able to recover over $80K of A/R, while reducing the monthly denials from 73 to 11.