The Revenue Cycle Blog
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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.
CABG Claims Under Review: Documentation Gaps That Trigger Denials
CABG procedures involve some of the highest-value claims in cardiovascular surgery, making accurate documentation essential for timely reimbursement.
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.
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.
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.
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.
Multi-Level Spinal Fusion Billing: Base Codes, Add-On Codes, and NCCI Bundling Explained
A practical guide to multi-level spinal fusion billing, covering coding, documentation, NCCI edits, instrumentation, and reimbursement best practices.
Failed Conservative Treatment Documentation: The Missing Element Behind Spine Claim Denials
Learn what payers expect when reviewing failed conservative treatment and how stronger documentation can reduce spine claim denials.
When Decompression and Fusion Can Be Reported Together: Understanding NCCI Bundling Rules
Learn when decompression and fusion may be reported together and how NCCI edits, documentation, modifiers, and payer policies affect reimbursement.
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.
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.
Professional versus Technical Component Billing in Radiation Oncology
Professional and technical component billing plays a critical role in radiation oncology reimbursement. Learn when to bill Modifier 26, the TC component, or global services, understand hospital versus freestanding billing requirements, and avoid common place-of-service and reimbursement mistakes.
CMS WISeR and Spine Surgery: How AI-Assisted Prior Authorization Changes Claim Risk
A practical guide to the CMS WISeR Model, AI-assisted claim reviews, and reimbursement best practices for spine surgery practices.
Spine Implant Revenue Leakage: From the OR Log to Final Reimbursement
Every spine implant represents valuable reimbursement, but revenue can leak from the operating room to final payment. Learn where revenue loss occurs and the best practices to protect reimbursement through accurate documentation, coding, billing, and payment reconciliation.
Top 10 Best Cardiology Billing Companies in USA
Cardiology billing is complex and high risk. Explore the top 10 best cardiology billing services in the US and learn how specialty RCM improves reimbursements and reduces denials.
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.
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.
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.
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.
Top 10 Best Radiation Oncology Billing Companies in the USA
Choosing the right radiation oncology billing company can improve claim accuracy, reduce denials, and strengthen your revenue cycle. Explore our list of the top radiation oncology billing companies in the US and learn why MBW RCM is a trusted partner for specialty-focused billing and coding services.