Case Study: Resolving Ophthalmology NPI/TIN Mismatches to Prevent Out-of-Network Losses

An ophthalmology practice in New York faced major reimbursement issues when incorrect NPI/TIN setup caused in-network claims to process as out-of-network. MBW RCM identified the mismatch, corrected the provider configuration, and helped the practice prevent further revenue loss.

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Case Study: Eliminating $151,695 in Coding-Related Denials for a South Dakota Ophthalmology Practice

A South Dakota ophthalmology practice faced $151,695 in coding-related denials due to modifier errors, incorrect CPT/ICD pairings, and NDC discrepancies. MBW RCM corrected the coding issues, appealed denied claims, and helped the practice recover significant revenue.

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