The Revenue Cycle Blog
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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.
How Long Does Prior Authorization Take for Medication?
Most authorizations are processed in 72 hours—but not all. Find out what impacts how long prior authorization takes for medication, and why it’s more than just paperwork.
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.
What is Charge Capture and Why is it So Important?
Charge capture is often overlooked, yet it’s the backbone of healthcare revenue. Every missed charge means lost income, compliance risk, and delayed cash flow. This blog explores why flawless charge capture matters and how optimizing it strengthens both financial health and patient care.
Is Behavioral Health the Same as Mental Health? Here's the Real Difference
Yes—and it’s bigger than you think. Learn how daily habits and emotions interact, and what that means for getting the right help.
Top 5 HCC Coding Mistakes and How to Avoid Them
This blog highlights the top 5 HCC coding mistakes and provides actionable strategies to prevent them, ensuring accurate documentation, higher RAF scores, and stronger revenue integrity.
“DNFB” is Not a Swear Word: How to Master the Discharges Not Fully Billed Report
DNFB reports may look like back-office paperwork, but they reveal where your revenue cycle is stuck. Learn how managing Discharges Not Fully Billed impacts cash flow and financial health.
Why Hospitals Should Outsource Revenue Cycle Analytics
Outsourcing hospital revenue cycle analytics is more than a cost-cutting move—it’s a strategic shift toward faster insights, fewer denials, and stronger collections. This blog explores why hospitals are choosing external analytics partners to decode their data and improve their bottom line.
ABA Medical billing: How We Slashed Denials by 78% in 90 Days
Read how specialized ABA medical billing services helped a Phoenix clinic cut claim denials from 27% to 6% and reduce A/R days from 78 to 32.
The Patient Journey Starts Here: How Scheduling Directly Impacts Patient Loyalty and Retention
The patient journey starts before the first visit—with scheduling. Learn how MBW RCM’s integrated solutions improve first impressions, cut no-shows, and grow revenue.
HCPCS Codes: 10 Must-Know Tips for Billers in 2025
Get a grip on HCPCS codes in 2025 with 10 powerful billing tips most coders overlook. From modifiers to J-codes, learn how to avoid costly denials and code with confidence.
Podiatry Billing Services Experts Reveal the #1 Mistake Clinics Make
Mistakes in podiatry billing cost more than you think. Explore how specialized podiatry medical billing services help clinics avoid denials, speed up collections, and secure long-term financial success.
The Great Unwind: A Step-by-Step Guide to Resolving Credit Balances
Credit balances are more than accounting errors—they affect compliance, finances, and patient trust. This blog explains 5 proven steps to resolve them and strengthen your A/R.
Improving Patient Experience Through Eligibility Verification in the Revenue Cycle
Eligibility verification in the revenue cycle is more than paperwork—it’s key to preventing surprise bills, reducing denials, and improving the overall patient experience.
Decoding HCC vs. CPT: A Guide for Physicians and Practices
HCC and CPT codes play distinct but complementary roles in healthcare billing. While CPT captures the services provided, HCC reflects patient diagnoses and risk. Physicians and practices must master both to ensure accurate reimbursement, compliance, and readiness for value-based care. This guide explains key differences and best practices for success.
Don’t Let Them Age Out: A Guide to Timely Underpayment Appeals
Underpayment appeals come with strict deadlines. Missing them means lost revenue. This blog shows how timely filing and strong appeal workflows keep your revenue cycle secure.
Hierarchical Condition Category (HCC): RAF Scores & Risk Models
Hierarchical Condition Category (HCC) coding directly affects RAF scores and healthcare reimbursements. Understand how accurate coding ensures better funding and smarter patient care strategies.
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.
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.
Benefit Verification in Medical Billing with This Step-by-Step Guide
Benefit verification in medical billing is the first step to avoiding denials and delayed payments. This blog walks you through the process, common errors, and how automation and outsourcing can improve accuracy and patient experience.