The Revenue Cycle Blog
How We Helped an OB Practice Recover $400K Annually with Documentation Fixes
Ohio OB practice cut ultrasound claim errors by 76% and boosted revenue by $33K/month through better documentation and provider education.
Case Study: Improving Credentialing Efficiency through CAQH Attestation
A Virginia-based healthcare group improved credentialing and reduced denials by tracking CAQH attestations—achieving 98% compliance and faster enrollments.
Case Study: How Billing OB GYN Services Recovered a $21K Denial Successfully
This case study highlights how billing OB GYN providers in Bozeman recovered $21,000 denied claims and reduce revenue loss. with MBW
Case Study: General Surgery Medical Billing Turnaround—29% to 7% Denial Drop
See how MBW helped reduce general surgery medical billing denials by 76% and cut A/R days in half for a surgical group in Illinois.
Case Study: Recovering a $28,700 NICU Claim in Neonatal Billing Operations
Recovering NICU denial: Read how our neonatal billing experts helped a Texas practice fix denials & boost NICU claim approval rates by 42%.
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.
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.
Case Study: Denial Management Service Helps Surgeon Recover $32,000 from a Denied Claim
What happens when a $32K surgery gets denied? This case study reveals how revenue was brought back fast—with Denial Management Service.
Case Study: 98% Accuracy in HCC Coding for Anesthesia, Resulting in 18% Revenue Growth
Explore real-world case studies showcasing how we improve HCC Coding and billing efficiency and revenue for healthcare providers.
$200K Recovered: A Radiology Underpayment | Case Study
Read how we recovered $200K in underpayments for an Atlanta radiology practice, restoring lost revenue and improving cash flow.
A Case Reports in Cardiology: 15% Drop in Denials and 67% Faster Appeals
Read a Case Reports in Cardiology billing on how we achieved a 15% drop in claim denials and a 67% boost in appeal resolution.
How We Fixed Patient Registration Delays in the Emergency Department
Read our case study detailing how we fixed patient registration delays in the Emergency Department for optimal patient satisfaction.
Case Study: Improving ED collections by resolving coding and clinical documentation issues
Our client, a mid-sized hospital group, faced challenges getting reimbursed for ED visits. Sub-optimal client documentation processes led to delayed payments and reduced reimbursements. Our initial analysis revealed that delayed billing was the root cause. We conducted an exhaustive internal audit of 30 physicians working across two facilities in Washington and Florida. In this case study, we highlight how improved clinical documentation and coding quality lead to increased reimbursements.
Case Study: Anesthesia billing and coding rigor improves reimbursements
Our client, an IOWA-based anesthesia practice operating from 3 locations with 12 anesthesiologists in the group, was facing increased denials due to preventable causes. Anesthesia procedures are unique and require specific diagnosis codes. Hence, the quality of documentation by the Anesthesiologists plays a critical role in reducing coding-related denials. In this case study, we share the best practices applied by our team while billing & coding for Anesthesia practice.
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.
Case Study: Getting Reimbursed for COVID testing of uninsured patients under HRSA program
Amidst the uncertainties of the pandemic, our client, a healthcare provider in Central Florida, had launched Covid-19 testing for both insurers and non-insured patients. Although the client got reimbursed successfully for the insured patients' claims, they were looking for a third-party RCM management company like MBW to help them submit claims electronically under the HRSA program. In this case study, read more about how our team helped collect $60k with a first-pass claim submission rate for Covid testing under the HRSA program.
Case Study: Accurate coding of Podiatry Encounters Improves collections by 25%, reduces denials by 23%
Invalid Diagnosis codes can cause coding errors and inflate claim denial rates. Often, healthcare providers tend to utilize superbills and mark the nearest available codes on the superbills. One of our clients, a podiatry provider, used superbills. The providers habitually marked the 99309 procedure on the superbill and notified the billing team for processing. However, as per Medicare and Medicaid regulations, 99309 and 99252 need to be entered for the claims to get reimbursements. Due to the lack of a clear understanding of the coding guidelines, the providers marked invalid diagnosis codes on the superbill.
Case Study: Achieving transformational revenue cycle results for a California-based Mental and Behavioral Health Provider
Understanding California, Payer, and Behavioral health-specific nuances and diligent focus on enrollment, timely filing, and payments reconciliations reduced denial rates and increased collections by 52%.
Case Study: Physician Education helps resolve BMI Diagnosis Claim Denials of over $37 K
Many Primary Care Physicians lose money because of lack of understanding of payer specific claims submission guidelines. Educating physicians on their documentation responsibilities is an iterative process, that requires an understanding of the reasons for claim denials, ability to nail-down the issues that are causing the denials, determining the corrective actions, and hosting timely sessions between the denials team and the physicians to discuss them.
Case Study: Correct Coding and Electronic Submission of Podiatry Claims reduce denials by 23% and improves collection by 25%
Bad quality scanning of superbills and lack of adoption of electronic claims submission creates a charge backlog situation and consequently, result in increased denials on account to timely filing dates not being adhered to. Read this case study about how our structured approach, technical expertise, and revenue cycle rigor combine to create value for our client.