The Revenue Cycle Blog
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How a Hospital Identified $487,000 in Lost Revenue from General Surgery Billing
A detailed case study showing how a hospital improved collections, reduced denials, and recovered nearly half a million dollars through strategic general surgery billing improvements.
CPT Codes for Orthopedic Surgery (Surgical & Non-Surgical Guide)
Orthopedic surgery coding involves complex CPT selection, modifier usage, implant documentation, and global surgery billing rules. This guide covers commonly used CPT Codes for Orthopedic Surgery, including arthroscopy, fracture fixation, joint replacement, spine surgery, injections, and orthopedic billing challenges.
New High MDM 60 Minutes: What US Physician Groups Need to Know in 2026
Learn how new high MDM 60 minutes documentation impacts E/M coding, reimbursement, compliance, and revenue cycle performance for US physician groups. Discover best practices for accurate high-complexity Medical Decision Making documentation, time-based coding, and revenue optimization in 2026.
Top 10 EMR Systems List of 2026
Explore the top 10 EMR systems of 2026 and compare the best Electronic Medical Record software for healthcare providers. Learn about leading EMR platforms, key features, interoperability, telehealth integration, medical billing capabilities, and Revenue Cycle Management solutions for hospitals, clinics, and private practices.
Credit Balance Services in Healthcare: 10 Fastest Ways to Get Refunds
Credit balance backlogs and delayed refunds can slow healthcare billing workflows and increase reconciliation challenges. This blog explains 10 fast ways to improve refund processing, manage overpayments, and strengthen credit balance workflows in healthcare revenue cycle management.
Healthcare Credit Balance Management for Faster Credit Resolution
Healthcare credit balance management focuses on identifying and resolving overpayments within defined timelines to support faster credit resolution. This blog covers key causes, resolution steps, predictive strategies, and common mistakes that delay processing, helping reduce backlog and maintain compliance.
Medical Billing and Coding Services for Large Practices
Managing billing and coding for large practices requires handling high claim volumes, complex workflows, and frequent denials. This guide explains how Medical Billing and Coding Services for large practices help streamline operations, improve claim flow, and support consistent revenue cycle performance.
8 Step Guide to Credit Balance Medical Billing Service in RCM
Managing credit balances in RCM requires a structured approach to prevent revenue leakage and audit risks. This guide outlines 8 key steps in credit balance medical billing service in RCM, from identifying overpayments to reconciliation and refund processing, helping streamline workflows and maintain payer compliance.
Credit Balance Process in Medical Billing Explained: How to Fix Backlogs at Scale
The Credit Balance Process in Medical Billing helps identify overpayments, but without structured workflows, backlog can increase. This blog outlines how to fix backlog at scale using automation and reconciliation controls. Learn how to reduce aging credits and improve resolution timelines.
Best Practices for Credit Balance Resolution in Healthcare RCM
Credit Balance Resolution in healthcare RCM can be challenging when overpayments, refunds, and reconciliation are not handled effectively. This blog outlines 10 best practices to improve identification, streamline workflows, and manage balances efficiently.
Case Study: Recovering $420K Annually from Claim Denials in ASC Billing
MBW RCM partnered with a Texas-based ASC facing a 24% claim denial rate and ongoing revenue loss. By addressing gaps in documentation, modifiers, and authorizations, we implemented a structured denial management approach. This reduced denials to 9% and delivered $420K in annual revenue recovery.
Orthopedic Billing Case Study: Increasing Collections by 28% Without Adding Staff
In this case study, our team helped an orthopedic practice increase collections by 28% by correcting coding errors, resolving NCCI issues, and optimizing AR workflows—without adding staff.
How Medical Coding Errors Lead to Revenue Leakage in Large Clinics
Medical coding errors can quietly reduce revenue in large clinics by causing claim denials, underpayments, and delays in reimbursement. This blog highlights the top coding errors, explains their impact on the revenue cycle, and outlines how to identify and prevent them early to improve claim performance.
Pros & Cons of Universal Healthcare (Medicare for All) for Providers in USA
Universal healthcare, often discussed as Medicare for All in the U.S., aims to provide healthcare access to everyone. This article explores the benefits, challenges, and potential impact on healthcare providers and revenue cycle management.
CPT Code for New Patient Office Visit: When to Use 99202–99205
Confused about how to bill new patient office visits? This guide breaks down CPT codes 99202–99205, explains ICD-10 pairings, and helps you avoid costly errors.
How to Improve Patient Collections in Medical Practices
Rising patient responsibility and delayed payments have made collections a growing challenge for medical practices. This blog explains how to improve patient collections for medical practices by using clear billing processes, upfront payment strategies, automation, and performance tracking to reduce aging balances and improve payment timelines.
Best Medical Billing Outsourcing for Small Practices in USA
Outsourcing medical billing services for small practices offers a cost-effective way to manage claims, reduce denials, and focus more on patient care. This guide explores the benefits, challenges, and process of choosing the right billing partner in 2025.
How Insurance Eligibility Verification Services Prevent Same-Day Claim Rejections
Same-day claim rejections often occur due to eligibility issues identified too late in the billing process. This blog explains how Insurance Eligibility Verification Services help prevent these rejections by validating insurance details before claims are created, reducing errors, rework, and delays in claim processing.
AR Follow-Up on Unpaid Claims: Step-by-Step Process + Free Workflow Template
Insurance claims unpaid after 60 days signal deeper issues within A/R Billing & Follow Up. This blog breaks down why claims remain unresolved, how payer delays and workflow gaps contribute to aging, and what clinics can do to reduce long-outstanding balances.
Charge Capture vs Charge Entry: Understanding the Key Differences in Billing
Charge capture and charge entry are essential steps in medical billing. Charge capture documents services, while charge entry codes and inputs them for claim submission. Understanding their differences reduces errors and supports a stronger revenue cycle.