What Is Your Track Record in Clean Claims Processing and Denial Reduction?

Clean Claims Processing & Denial Reduction: Building a Stronger Healthcare Revenue Cycle Your track record in clean claims processing and denial reduction measures your organization’s ability to submit accurate, error-free healthcare claims that are accepted and paid by insurers on the first attempt. A strong track record is quantified by achieving a 95% clean claim […]

Uncollected Claims Recovery: The 30% Solution Healthcare Providers Can’t Afford to Ignore

Uncollected claims recovery is one of the most overlooked revenue opportunities in healthcare, yet it can return nearly 30 percent of lost payments that providers often assume are gone for good. When claims remain unresolved or denied, or age past timely filing limits, practices experience silent revenue leakage that directly impacts cash flow, year-end performance, […]

How Coding and Billing Services Reduce Claim Denials by 40%

Claim denials cost healthcare providers billions annually, creating cash flow disruptions and administrative burdens that detract from patient care. Professional coding and billing services have emerged as a powerful solution, with many practices achieving denial rate reductions of 40% or more. Medical Billers and Coders (MBC) leverages 25+ years of industry expertise to help physicians, […]

Claim Denials in Medical Billing: What’s Really Going Wrong and How to Fix It

Why Claim Denials Keep Happening—and What You Can Do Let me share something I’ve learned over 15 years in medical billing and coding at MBC—most claim denials are preventable with the right strategy. I’m Maria L., CPC—and I’ve spent over a decade helping OB-GYN, family medicine, and dermatology practices figure out why their claims keep […]

Efficient Reimbursement: Avoiding Claim Denials for Seamless Payments

Avoiding Claim Denials: A Challenge You Cannot Afford to Ignore Are you tired of watching your revenue disappear due to frequent claim denials? For many medical practitioners, the frustration of denied claims is a constant battle––impacting both cash flow and the ability to provide quality care. Experian Health’s State of Claims 2022 report found that […]

Cost of Denials: Impact on Healthcare Revenue and Patient Experience

In the complex healthcare landscape, the cost of denials carries significant weight. Denials occur when health insurance companies refuse to pay for medical services, tests, or procedures provided to patients. While denials may seem routine in healthcare billing, their impact on healthcare revenue and patient experience cannot be underestimated. In this blog, we will discuss […]

Turning Denials into Dollars: Optimizing Revenue Recovery from Denied Claims

The healthcare industry operates on a delicate financial balance, where providers rely on a steady stream of revenue to deliver quality care to patients. A significant challenge within this complex ecosystem is the denial of insurance claims. Denied claims not only disrupt the revenue cycle but also demand additional resources and time to rectify. To […]

Tackling the Challenges of Claims Denials: Insights for Healthcare Providers

Challenges of Claims Denials Claims denials are a major challenge for healthcare providers in the United States. According to the Medical Group Management Association (MGMA), the average claim denial rate in 2023 is 7.5%. This means that for every $100 in claims submitted, healthcare providers are losing an average of $7.50 to denials. But why […]

Top Denials in Medical Billing: Common Causes and Strategies for Avoidance

Top Denials in Medical Billing pose significant challenges to healthcare providers, often resulting in delayed payments, increased administrative workloads, and potential revenue loss. These denials not only impact cash flow but also strain internal resources, affecting overall practice efficiency. Understanding the top denials in medical billing and their root causes is crucial for healthcare organizations […]

Reducing E/M Services Claim Denials

E/M Services Claim Denial Reasons As per the Centers for Medicare & Medicaid Services (CMS) data, approximately 15 percent of evaluation and management (E/M) services are improperly paid and accounted for almost 9.3 percent of the overall Medicare fee-for-service improper payment. Some of the common claim denial reasons are ‘similar services from multiple providers in […]

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