Maximize Your Realized Yield.
Defend Your EBITDA.
In 2026, a 98% Clean Claim Rate is a vanity metric. MBC provides Multi-Specialty Groups and Health Systems with AI-driven Revenue Integrity that out-computes payer algorithms and eliminates hidden variance leaks.
MBC Client Performance vs. Industry
UHC 2026: Tightened E&M documentation standards — denials up 22% nationally
MBC Revenue Integrity: We don’t just submit claims — we close the gap between what payers owe and what you actually collect.
The RCM War of 2026: Humans vs. Payer Algorithms
Most large medical groups are losing 4–7% of their annual revenue to “Algorithmic Downcoding.” While your in-house team celebrates Clean Claims, payers are using NLP to scan your clinical notes and auto-deny for medical necessity. You aren’t being denied — you’re being out-computed.
How MBC Out-Computes Payer Algorithms
No commitment. MBC maps every leak in your revenue cycle before you decide anything.
Evidence at Every Level.
Each specialty operates under a distinct coding framework and payer landscape. Our specialty-trained teams know the difference and bill accordingly. View billing guidelines →
State-specific billing expertise across all 50 states — with deep payer intelligence for each state’s Medicaid program, dominant commercial plans, and managed care contracts.
40-Provider Group, Epic EHR
Wound Care Practice, Tucson AZ
Family Practice Group, Phoenix AZ
MBC recovered $112,000 in Medicare Advantage denials we had written off as uncollectable. Their appeal team knows exactly what clinical documentation each plan needs. No other vendor we had worked with came close.
Everything You Need Before You Decide
Our Medical Billing Services are structured around three interlocking pillars — not a generic billing checklist. Each addresses a specific failure mode that costs physician groups money silently.
Financial Performance
- Net Collection Ratio tracking
- Payer Variance Analytics
- Cost-to-Collect Optimization
- True Realized Yield Reporting
Risk Mitigation
- RAC Audit Defense Protocol
- No Surprises Act Compliance
- Pre-Submission Quality Gates
- Internal Compliance Scrubbing
Technological Efficiency
- AI-Powered Appeal Automation
- Multi-EHR Integration (Epic, Cerner, Athena)
- Real-Time Denial Prediction
- EHR-Agnostic Interoperability
- Audit-first, every engagement. We show you exactly what’s leaking before you commit to a dollar. No other vendor starts this way as standard practice.
- 25 years of payer-specific intelligence. We know which plans delay on technicalities, which need specific appeal language, and which authorization formats pass first time.
- Provider-level RCM Dashboard. Your CFO sees denial trends, AR aging, and NCR broken down at the physician, location, and payer level — not a monthly summary that masks problems.
- No long-term lock-in. No multi-year contracts, no exit penalties. Performance is the only retention strategy we use.
- Step 1 — Revenue Audit: We analyze your billing performance, denial patterns, and coding accuracy. No cost, no commitment.
- Step 2 — Custom RCM Plan: A tailored Revenue Integrity plan with specific improvement targets and performance benchmarks.
- Step 3 — Seamless Transition: We integrate with your existing EHR/PM system with zero billing interruption. Most transitions complete in under 2 weeks.
- Step 4 — Dashboard + Ongoing Recovery: Real-time RCM Dashboard with provider-level denial trends, AR aging, and ongoing coding optimization.
- Medical Billing & Claims Management: End-to-end claim lifecycle — charge entry, coding, scrubbing, submission, and electronic remittance.
- Medical Coding & Audit: CPC/CCS-certified coders performing prospective audits, ICD-10/CPT optimization, and HCC capture.
- Denial Management & Appeals: Payer-specific appeal arguments. Average 78% overturn rate vs. industry average of 45%.
- Accounts Receivable Follow-Up: Systematic AR aging management targeting high-value, time-sensitive claims.
- Physician Credentialing: CAQH enrollment, payer contracting, and re-credentialing. Every day a provider isn’t enrolled is revenue lost.
- RCM Dashboard & CFO Reporting: Live NCR, denial trends, payer variance, and AR velocity at the provider and location level.
- Old AR Recovery: Dedicated team for aged receivables previously written off by in-house billing teams.
Ready to See Exactly How Much Revenue You’re Missing?
MBC’s audit-first engagement maps every revenue leak in your practice before you commit to anything. Takes 2 minutes to request. Uncovers thousands.