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%.

With changes in technology, a successful medical biller needs to understand (and be proficient) in using technology, applying deductive and critical thinking skills, and be an excellent communicator. Ideally, one should look for strong analytical, communication, and inter-personal skills in a medical biller

Physical Therapy billing requires expertise to ensure holistic and sustainable improvement. Medical Necessity and prior authorization issues can cripple a practice’s financial health. Structured revenue cycle processes can help Physical Therapy clinics grow and thrive. Diligent tracking of issues and working with physicians can yield as much as 2X improvement in collections and reduce denials by as much as 50%. Get the strategies in this case study.

The adage, “Prevention is better than cure”, does apply to Claim Denials as well. An effective denial prevention program requires an iterative process that includes identification of root cause, finding solutions to prevent the issue from recurring in the future, the institutionalization of these procedures through updates to standard operating procedures, and training the staff on these practices. In this whitepaper from Medical Billing Wholesalers, we bring you a few steps that you can take to prevent denials.

Recovering claim dues from payers for physician assistance claims requires intricate knowledge of payer-specific guidelines. Medical Billing Wholesalers’ denials research team helped the client identify and resolve out-of-network claims.

With a focus on recovering denials of PA claims from UHC and Oxford, we rebilled the claims after adhering to the payer-specific guidelines and were able to recover over $80K of A/R, while reducing the monthly denials from 73 to 11.

As with all other industries, healthcare providers are facing financial challenges stemming from COVID-19. Getting reimbursements for COVID-19 treatments of uninsured individuals is complicated & requires healthcare providers to stay up to date with the nuances of the HRSA program for the uninsured. In this article we provide a consolidated view of everything one should know about the HRSA program for COVID-19 treatments of the uninsured.

COVID-19 updates by the regulators are across the news today. With many physician practices choosing to operate remotely, and reduced patient visits to the outpatient department, the financial health of healthcare providers is now reeling under the shock of COVID-19. MBW brings you some of the areas that financial administrators working at healthcare provider entities must focus on to stabilize financial operations and restore normalcy.

Medical Coding is a key element of the revenue cycle and drives the communication between healthcare providers and insurers. In this article, we talk about the importance of medical coding and the career opportunities the field presents

Improving days in A/R to MGMA benchmark of fewer than 40 days requires a comprehensive relook at the entire revenue cycle and concerted efforts to improve. In this article, we bring you insights on how to reduce the number of days in AR.

With headwinds coming from falling reimbursements and the rise of national-level aggregators, the times are tough for medical billing companies.

In this whitepaper, we look at some of the trends and what medical billing companies need to do to survive and thrive in 2020 and beyond.