If Your Wound Care Practice Collects $100K to $150K a Month, Here’s What Your Denial Report Isn’t Showing You

Wound Care Denial Management for $100K-$150K/Month Practices | MBC

If your wound care practice sits in the $100K to $150K monthly insurance collection range, you’re at exactly the size where unworked denials do the most damage and get noticed the least. You’re large enough that no single person can track every claim by hand, but not yet large enough to have a dedicated team […]

Optometry Billing Services: Is Your NCR Below the 2026 Benchmark?

If your net collection ratio (NCR) is under 95%, then yes, you are below the 2026 benchmark, and the gap is costing you real money. The commonly cited MGMA-aligned target is 95% or higher, and top-performing groups reach 96% to 99%. Strong Optometry Billing Services close that gap by getting three things right: the medical-versus-vision […]

Family Practice Denial Management: Why Denials Quietly Become Unrecoverable Write-Offs

Effective Family Practice denial management doesn’t depend on the denial rate — it depends on what happens after. A Family Practice group can sit inside HFMA’s 5–10% “acceptable” denial rate range and still lose significant revenue every month. A denial your team doesn’t work in time doesn’t stay open. Once the payer’s filing deadline passes, […]

Does Optometry RCM Services Improve NCR in 90 Days or Less?

Yes, optometry RCM services can improve NCR within 90 days, but only when the approach is built for optometry’s specific billing structure and not adapted from generic medical billing. Optometry practices routinely see Net Collection Ratio stuck in the 80 to 85% range, not because of poor front-desk performance, but because vision plan billing, medical […]

Is Your Wound Care Group’s Denial Rate Hiding a Six-Figure Appeal Problem?

Yes, if your group is only tracking denial rate and not tracking what happens to those claims afterward. A multi-provider wound care group can post a completely normal denial rate and still be sitting on $100K to $250K a year in denied claims that were technically recoverable but never got worked to resolution before the […]

Why MA Denials Are Rising & What SNF Billing Fixes It

Why Medicare Advantage Denials Are Rising, and What Strong SNF Billing Services Do About It

Medicare Advantage denials for skilled nursing facility stays are rising. The main driver: 99% of MA enrollees now sit in plans that require prior authorization for SNF admission. A June 2026 HHS OIG report found that MA organizations denied 12% of those requests overall, and that rate reached 40% for long-stay nursing home residents. Even […]

The Transitional Care Management Codes Most Practices Forget, and How Primary Care Billing Services Catch Them

Most primary care groups forget the reimbursement tied to Transitional Care Management Codes CPT 99495 and 99496 because Transitional Care Management runs on a strict post-discharge clock, and the required patient contact window closes before front-desk staff even see the hospital discharge summary. What Actually Qualifies as Billable Transitional Care Management Codes Transitional Care Management […]

Why General Surgery Billing Services Are Key to Closing Global Period Documentation Gaps

General surgery billing services close global period documentation gaps by verifying that every post-operative encounter is coded with the correct CPT modifier, tied to the original procedure’s 90-day or 10-day window, and supported by documentation that separates related care from unrelated, reimbursable services. Left unmanaged, this gap does not show up as an obvious problem […]

Outpatient Physical Therapy Billing: Where Does the Revenue Leak?

Outpatient physical therapy billing loses the most revenue in five places that never show up as a denial: time units rounded down instead of billed to the full 8-minute rule, the KX modifier threshold crossed without supporting documentation, modifier 59/XS left off legitimately separate procedures, re-verification skipped on authorized visit counts, and secondary payer coordination […]

Is In-House Billing Costing More Than Outsourced Revenue Cycle Management?

For most multi-provider groups, the honest answer is yes. Once you add up salaries, benefits, software, training, and the claims nobody ever reworks, in-house billing usually costs more than outsourced revenue cycle management, even before you count the revenue that simply never gets collected. Most centers never run this comparison. They look at an outsourcing quote, […]

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