Are Your Interventional Pain Billing Guidelines Costing You Revenue?

The interventional pain billing guidelines 2026 require multi-physician pain groups and ASCs to immediately adapt to three compounding revenue threats: a CMS-finalized -2.5% efficiency adjustment on non-time-based procedure RVUs, mandatory prior authorization for Epidural Steroid Injections under the WISeR Model effective January 1, 2026, and a site-of-service payment differential that reduces facility-based indirect practice expense […]

What does a standard AR summary actually show?

A standard AR summary shows the total outstanding receivables organized by aging buckets (Current, 1–30 days, 31–60 days, 61–90 days, Over 90 days) revealing how much revenue remains uncollected and how long claims have been unpaid—with healthcare practices collecting $1M–$5M+ monthly losing $1.2M–$3.8M annually when AR aging reports show 18–28% of receivables in the Over […]

Are Implant Gaps the Source of Your ASC Revenue Leakage?

Yes — implant gaps are the primary source of ASC revenue leakage, with Ambulatory Surgical Centers collecting $1M–$5M per month losing $1.2M–$3.8M in 12-month revenue when 35–52% of implantable devices lack real-time charge capture documentation. The leakage compounds across three failure points: $8,500–$24,000 implant costs left unbilled per missed capture, invoice-to-claim reconciliation gaps leaving $180,000–$420,000 […]

Why Are Optometry Practices Missing Their Days in AR Benchmarks?

Optometry practices are missing their Days in AR Benchmarks because three compounding billing failures — vision-versus-medical plan misclassification, NCCI diagnostic bundling errors, and legacy ICD-10 coding after the October 2025 code update — are stalling claims in payer queues long after payment should have arrived. The national average sits at 35–40 Days in AR across […]

How Global Maternity Bundle Exceptions Are Costing OBGYN Practices $1.2M-$3.6M

Global Maternity Bundle Exceptions Costing OBGYN $1.2M–$3.6M

Global maternity bundle exceptions cost OBGYN practices collecting $1M-$5M per month between $100,000 and $300,000 in monthly revenue totaling $1.2M-$3.6M over 12 months because the four categories of services that fall outside the global obstetric package high-risk pregnancy complications, transfer-of-care scenarios, separately billable diagnostic procedures, and ancillary services excluded by payer-specific contract terms are systematically […]

Why Physician Groups Choose MBC: What a Revenue Integrity Partner Looks Like vs. a Billing Vendor?

How MBC as your Revenue Integrity Partner works for your Physicians Group / Physicians / Hospital / Practice. The difference isn’t just performance. It’s what your CFO gets to know — and act on — that changes the business. There’s a conversation happening in more CFO offices than most billing vendors would like to admit. […]

Why Are Prior Authorization Denials Spiking in Wound Care?

Prior Authorization Denials are spiking in wound care because 2026 has fundamentally changed the authorization landscape — the CMS WISeR Model launched January 1, 2026, introducing AI-driven prior authorization requirements for skin substitute applications in six pilot states, while simultaneously a new flat reimbursement rate of $127.14 per square centimeter for non-biological skin substitutes triggered […]

How Groups Switch from athenahealth Billing to MBC

Understanding how to switch from Athenahealth Billing to MBC without disrupting clinical operations is the question practice administrators across California, Texas, and Florida are asking as flat Net Collection Rates and rising denial volumes make the cost of staying put impossible to ignore. You’ve probably already Googled alternatives to Athenahealth. And then you’ve probably closed […]

What Does a 90-Day Family Practice Audit Reveal?

A 90-day family practice audit reveals three consistent findings across multi-provider practices collecting $1M–$5M+ annually: E/M level undercoding that suppresses reimbursement by $280,000–$450,000 per year, uncaptured add-on codes representing $57,000–$144,000 in forfeited complexity revenue, and recurring payer-specific denial patterns costing $95,000–$180,000 annually — all of which persist undetected until a structured revenue performance audit forces […]

Is a Denial Rate Crisis Draining Your Orthopedic Revenue?

Yes — a Denial Rate Crisis is actively draining orthopedic revenue across the country, with initial denial rates climbing to 11.8% across healthcare in 2024 (AHA) and orthopedic practices absorbing some of the steepest losses due to high-dollar surgical claims, implant complexity, and aggressive prior authorization scrutiny from Medicare Advantage plans. For a multi-surgeon orthopedic […]

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