MBC vs Athenahealth vs R1 RCM: Which Medical Billing Company Is Right for Your Practice?

MBC vs Athenahealth vs R1 RCM are among the most frequently evaluated names when selecting a medical billing company for physician groups, PE-backed specialty networks, and health systems. Each is a fundamentally different medical billing company — built for different clients, operating at different scales, and optimized for different revenue cycle management services outcomes. According […]

Best Orthopedic Medical Billing Companies 2026: Compared for Specialty Practices

Best Orthopedic Medical Billing Companies 2026: Medical Billers and Coders (MBC) Coronis Health AdvancedMD RCM CareCloud Tebra (formerly Kareo) Orthopedic billing is not general medical billing with harder codes. It is a distinct revenue cycle discipline where modifier errors, global period tracking failures, and implant documentation gaps routinely generate $150,000–$500,000 in annual uncaptured revenue for […]

Best ASC Billing Companies 2026: Compared for Ambulatory Surgical Centers

Best ASC Medical Billing Companies 2026_ Compared for Ambulatory Surgical Centers

ASC billing is not physician practice billing performed in a surgical setting. It is a distinct revenue cycle discipline built on the CMS Ambulatory Payment Classification (APC) system — a facility-fee reimbursement structure with its own code logic, implant documentation requirements, and payer coverage policies that differ fundamentally from the RBRVS-based physician fee schedule that […]

E/M Level Misassignment Risk: What It’s Costing Your Practice in 2026 — and How to Eliminate It

E/M level misassignment risk is the probability that a physician practice is systematically billing evaluation and management encounters at incorrect code levels — either undercoding due to documentation caution or overcoding due to template-driven charting — resulting in $60,000–$220,000 in annual revenue loss or audit liability. According to MBC’s 2026 revenue cycle management services analysis, […]

Is Algorithmic Downcoding Impacting Orthopedic Payments?

Yes — Algorithmic Downcoding is silently stripping $12,000 to $30,000 per orthopedic surgeon annually, and most practices don’t see it happening until the damage is already done. If your case volume is steady but your reimbursements keep shrinking, the culprit isn’t your coding team. It’s a software system your payer built specifically to reduce what […]

Algorithmic Downcoding by Medicare Advantage

Algorithmic downcoding by Medicare Advantage occurs when MA plans use automated software to systematically reduce physician-submitted E/M codes — typically from 99214 or 99215 to 99213 — without clinical review, costing the average multi-specialty practice $40,000–$180,000 annually in suppressed reimbursement. According to MBC’s 2026 RCM services analysis, 68% of MA downcoded claims are recoverable through […]

Is Medicare Advantage Downcoding Hurting Wound Care Revenue?

Yes — Medicare Advantage downcoding is quietly draining wound care revenue, and most practices don’t even see it happening until six figures are already gone. Here’s the reality: wound care is one of the highest-risk specialties for algorithmic claim suppression. Your patients are sicker. Your procedures are more complex. And that exact complexity is what […]

How Do Optometry Billing Services Ensure Faster Reimbursements?

Optometry Billing Services ensure faster reimbursements by eliminating the three root causes of payment delays: misrouted payer decisions, incomplete diagnostic code specificity, and reactive denial workflows — replacing each with systematic, specialty-trained revenue infrastructure that delivers 24–48 hour claim cycles and first-pass resolution rates above 95%. The problem most eye care practices face isn’t volume […]

Is Your Practice Losing Revenue? The 7 Hidden Leaks Costing Multi-Specialty Groups $150K–$400K Annually

Multi-specialty group practices lose between $150,000 and $400,000 per year to revenue leakage hidden across denial write-offs, underpayments, missed charge capture, credentialing gaps, and aged AR — making this a clear case of a practice losing revenue in ways that rarely appear on a single report. According to MBC’s 2026 RCM analysis of multi-specialty groups, […]

How to Identify Silent Revenue Leakage in Your Practice?

Silent Revenue Leakage is the systematic, invisible loss of money your practice has already earned — money that slips through coding gaps, missed charges, and payer underpayments before it ever reaches your bank account. Most practice administrators look at a full schedule and assume the revenue will follow. It often does not. A busy orthopedic […]

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