Large medical groups need flexible pricing models to control costs and scale operations. At MBC, we tailor Revenue Cycle Management (RCM) pricing to fit your organization’s structure, specialty mix, and growth plans. Why Flexible Pricing Models Matter? Flexible pricing models for large medical groups lower costs and boost revenue. Standard RCM pricing often doesn’t work […]
The Core Difference in Billing Models Surgery center billing vs. hospital outpatient billing is more than a site-of-service distinction. Each setting follows different payer rules, fee schedules, and compliance expectations. Surgery center billing and hospital outpatient billing differ in reimbursement, coding, and compliance. Understanding the differences can prevent costly errors and improve your revenue cycle. […]
Why Denials Happen: Missing or inaccurate patient information Eligibility or coverage gaps Coding errors with CPT, ICD-10, or modifiers Lack of prior authorization Late claim submissions How to Prevent Them: Verify insurance upfront at every visit Audit denials regularly to find root causes Train staff on payer-specific rules Use front-end edits for clean claims Automate […]
SNF billing guidelines are critical to reimbursement success in post-acute care. Skilled Nursing Facilities (SNFs) face constant changes in Medicare rules, PDPM requirements, and payer documentation expectations. Skilled Nursing Facilities Must Know in 2025 Skilled Nursing Facility – 24/7 nursing and rehab care PDPM – Medicare payment model based on clinical needs Consolidated billing – […]
Billing errors in wound care aren’t just a clerical inconvenience—they represent thousands of dollars lost in revenue each month, rising compliance risks, and an increasing burden of administrative stress on practices. As payer audits tighten and wound care procedures become more complex, providers across the country are turning to a new resource: The Complete Guide […]
The medical billing process impacts your entire revenue cycle. From claim accuracy to timely payments, every step matters. If you’re seeing delays, denials, or lost revenue, it’s time to refine your process. Here’s how to improve your medical billing process — and start seeing stronger outcomes. 1. Standardize Front-End Data Collection Accurate data starts at […]
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 […]
Time-based anesthesia billing isn’t just complex—it’s critical. A small misstep in how you calculate units can lead to serious revenue loss. If you’re not regularly auditing your time-based anesthesia billing, chances are you’re leaving money on the table. At MBC, we specialize in making sure every anesthesia minute counts—and gets reimbursed accordingly. What Makes Time-Based […]
An Outpatient-Based Lab (OBL) is a physician-owned facility where procedures are performed outside of a hospital. These labs focus on specialties like vascular care, pain management, interventional radiology, and orthopedics. OBLs give providers more control, clinically and financially. But with that control comes billing complexity, higher audit risk, and shifting payer rules. Why More Providers […]
To prevent costly billing errors in Q3, Ambulatory Surgery Centers (ASCs) should consider taking these important steps: Always verify your insurance eligibility before procedures to avoid billing errors and denials. Review charge capture very carefully so nothing is missed or entered incorrectly in claim submission. Keep your billing and coding team updated on the latest […]
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