6 key SNF billing compliance updates Here are 6 key SNF billing compliance updates you must know: 8% Increase in SNF PPS Payment Rates PDPM Parity Adjustment Still in Focus New QRP Quality Measures (Effective October 2025) Expanded Value-Based Purchasing (VBP) Program ICD-10 Code Mapping Updates for PDPM Increased Staffing Data Scrutiny via PBJ Reporting […]
Future-proof your specialty practice with smart medical billing outsourcing that leverages technology, expert oversight, and real-time data to optimize revenue and adapt to industry changes. Specialty practices face growing demands, stricter payer requirements, more frequent audits, and limited internal billing resources. Managing revenue efficiently across services like SNF, DME, and ASC requires more than just […]
Hospitals that manage multiple specialties under one system face unique billing challenges in each department. However, with increased service lines comes increased revenue cycle complexity. Each specialty has different documentation requirements, coding rules, and payer-specific nuances. To maintain financial stability, hospitals need a medical billing partner with the infrastructure and insight to handle multi-specialty billing […]
In 2025, hospitals that provide obstetrics and gynecology (OB/GYN) care face increasing billing and coding complexity. From maternity care and OB triage to telehealth billing and advanced surgical procedures, the accuracy and efficiency of your revenue cycle operations are critical. Hospital-based medical billers and coders must apply the most current CPT®, ICD-10-PCS, DRG, and payer-specific […]
7 Medical Billing Mistakes Costing Your Practice Thousands Here are the 7 most common medical billing mistakes that cost practices thousands every year: Quick Look: The 7 Mistakes Incorrect Patient Information Outdated Insurance Verification Coding Errors and Upcoding/Downcoding Missed Filing Deadlines Failure to Track Denials and Appeals Non-Compliance with Billing Regulations Lack of Performance Monitoring […]
A medical biller and coder is responsible for translating medical diagnoses and procedures into standardized codes and ensuring those services are correctly billed to insurance companies for timely reimbursement. In today’s complex healthcare landscape, medical billers and coders play a critical role in keeping provider revenue flowing and practices financially healthy. They serve as the […]
In today’s complex healthcare landscape, data-driven medical billing isn’t just a trend—it’s a necessity. For private practices, multi-specialty groups, and healthcare organizations aiming to stay profitable and compliant, leveraging billing intelligence is the key to long-term sustainability. At MBC, we believe medical billing should do more than submit claims. It should uncover insights, reduce revenue […]
Healthcare providers are under increasing pressure to secure timely reimbursements for high-dollar services. As big claims and payer complexities continue to rise in 2025, practices must evolve their billing strategy or risk significant revenue disruption. At MBC, we specialize in medical billing and coding solutions designed to tackle these exact challenges. Whether it’s claim denials, […]
As the regulatory spotlight intensifies across the healthcare industry, Out-of-Network Billing for ASCs has become a high-stakes decision. Ambulatory Surgery Centers often weigh the potential for increased revenue against the growing legal and reputational risks. From the No Surprises Act to individual state laws, compliance is no longer optional—it’s a necessity. Whether you’re operating in […]
Tracking performance is essential to any successful revenue cycle management (RCM) strategy. At MBC, we help healthcare organizations maximize collections, reduce denials, and increase financial clarity by focusing on medical billing KPI formulas that provide real-time visibility into revenue health. Below are the most critical medical billing KPI formulas your practice should measure regularly—and what […]
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