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A New York Spine Practice Reduced Underpayments by 42% Without Increasing Surgical Volume

A New York spine surgery practice was losing revenue through unnoticed contractual underpayments on complex fusion and instrumentation procedures. Learn how MBW RCM recovered $612,000, reduced underpayments by 42%, and increased net collections by 18% without increasing surgical volume.

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TAVR Billing and Coding: Why High-Value Claims Lose Reimbursement

Every TAVR procedure represents significant revenue, but even small documentation or coding errors can lead to denied claims and delayed reimbursement. This guide explores the most common TAVR billing and coding challenges, medical necessity requirements, documentation best practices, and proven strategies cardiovascular practices can use to protect reimbursement and optimize revenue cycle performance.

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Case Study: Increasing Charge Capture by 29% for a Freestanding Radiation Oncology Center

Despite timely claim submission and low denial rates, a freestanding radiation oncology center struggled with slower reimbursement growth. Discover how our Radiation Oncology Billing and Charge Capture Services increased charge capture by 29% and protected $418,000 in reimbursement through specialty-focused revenue integrity workflows.

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Cardiovascular Surgery Global Periods: What Can Be Billed Separately?

Not every service provided during a cardiovascular surgery global period is bundled into the original procedure. Learn which postoperative services can be billed separately, how modifiers 24, 25, 57, 58, 78, and 79 apply, and the payer-specific billing rules that help reduce denials and protect reimbursement.

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Recovering $486K by Improving CABG and Valve Surgery Documentation Specificity

A hospital-affiliated cardiovascular surgery practice recovered $486,000 by improving CABG and valve surgery documentation through a specialty-focused Clinical Documentation Integrity (CDI) program.

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How to Choose a Radiation Oncology Billing Company

Choosing the right radiation oncology billing company is about more than comparing prices. The right partner can improve coding accuracy, reduce claim denials, strengthen revenue cycle performance, and increase reimbursements. This guide shares 10 expert tips to help you evaluate billing companies and confidently select the best fit for your radiation oncology practice.

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Radiation Oncology Course-of-Treatment Billing: Where Duplicate and Missing Charges Occur

Radiation oncology billing extends far beyond claim submission. Learn where missing and duplicate charges commonly occur throughout the course of treatment—from planning and simulation to dosimetry, physics, treatment delivery, and weekly management—and discover strategies to improve charge capture and reimbursement.

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Case Study: The Prior Authorization Mistake That Put $387,500 in Revenue at Risk

A Texas radiation oncology practice believed its prior authorization process was under control until our assessment uncovered workflow gaps that put $387,500 in reimbursement at risk. See how targeted improvements reduced denials and protected revenue.

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Case Study: Reducing Radiation Oncology Claim Denials by 37%: A Real Client Success Story

A multi-location radiation oncology practice was facing rising claim denials despite timely submissions. Discover how specialty-focused billing strategies reduced denials by 37%, improved first-pass claim acceptance, and accelerated reimbursement for complex cancer treatment services.

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The $226K Cash Reconciliation Problem Holding Back a Spine Practice

A multi-provider spine surgery practice in Arizona struggled with unapplied cash, delayed ERA reconciliation, and inaccurate payment posting. Learn how MBW RCM reconciled $226,000 in outstanding payments, reduced posting backlogs from 19 to 3 days, and improved financial reporting.

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Turning Claim Submission Delays into 98% First-Pass Acceptance for an ENT Practice

A multi-location ENT practice improved its claim submission workflow, reduced clearinghouse rejections, and achieved a 98% first-pass claim acceptance rate through specialty-focused claim submission services.

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