The Revenue Cycle Blog
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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.
Case Study: Non-Covered Charges & Missing Patient Acknowledgments in Ophthalmology
A New York ophthalmology practice faced repeated denials for refractions and diagnostic tests due to missing patient acknowledgments. MBW RCM implemented refraction policies, ABN procedures, and upfront collection workflows to prevent non-covered write-offs and protect revenue.
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.
Ophthalmology Billing: Coding for Cataracts, Glaucoma and In-Office Procedures
Ophthalmology billing requires precision and compliance. This guide simplifies coding for cataracts, glaucoma, and in-office procedures—helping practices avoid denials and increase reimbursements.