Medical Billing and RCM Blogs

Overcoming Denied Claims in Substance Use Disorder Billing: CMS’s New Coding Standards

Accurate billing and coding for Substance Use Disorder (SUD) services have always been challenging, especially with frequent changes in CMS regulations. Denied claims can result in delayed reimbursements and financial losses for providers. Understanding and implementing CMS’s new coding standards is crucial for maximizing revenue and reducing claim denials. Key CMS Updates in Substance Use […]

5 Signs It’s Time to Switch Your Oncology Billing Company

Oncology billing is one of the most complex areas in medical billing, requiring expertise in intricate coding, frequent regulatory updates, and strict compliance guidelines. A reliable billing partner is crucial for maintaining financial stability and operational efficiency. However, if your practice is experiencing consistent revenue losses, high claim denials, or communication breakdowns, it may be […]

Recovering $1.2M in Legacy AR: Proven Strategies for Hospitals

How We Recovered $1.2M in Stuck Legacy AR for a Regional Hospital

Accounts Receivable (AR) is the lifeblood of any healthcare organization. However, many hospitals and physician practices struggle with stuck legacy AR—aging claims that remain unpaid due to denials, administrative errors, or inefficiencies. One regional hospital faced a backlog of $1.2M in unpaid AR, creating financial strain and operational inefficiencies. At Medical Billers and Coders (MBC), […]

SNF Billing Basics: Understanding Resident Costs in Light of CMS’s Recent Guidelines

Understanding the billing processes in Skilled Nursing Facilities (SNFs) is crucial for residents and their families to manage healthcare expenses effectively. The Centers for Medicare & Medicaid Services (CMS) regularly updates guidelines that directly impact resident costs. In this blog, we’ll explore the fundamentals of SNF billing and highlight key changes from CMS’s recent guidelines. […]

New Pediatric Billing Codes: What CMS’s 2025 E/M Updates Mean for Your Practice

Brought to You by MBC At MBC, we understand that running a pediatric practice is no small feat. With the upcoming CMS updates to evaluation and management (E/M) guidelines set for 2025, including brand-new pediatric billing codes, we know you might have questions about what these changes mean for your day-to-day work. We aim to […]

Navigating Wound Care Billing in 2025: A Human-Centered Guide to Staying Compliant and Thriving

Wound Care Billing in 2025 The world of healthcare is changing fast, and wound care is no exception. Wound Care Billing in 2025 will be impacted as over 8.5 million Americans rely on advanced wound treatments due to rising rates of diabetes, obesity, and an aging population. But while innovations like bioengineered skin grafts and […]

Updated Analysis of PAR vs. Non-PAR Medicare Providers with 2025 Changes

PAR vs. Non-PAR Medicare Providers The distinction between Participating (PAR) and Non-Participating (Non-PAR) Medicare providers remains critical for financial planning and patient care. Below is an updated overview incorporating 2025 Medicare changes from the CMS Final Rule and other recent updates: 1. Key Differences Between PAR and Non-PAR Providers Aspect PAR Providers Non-PAR Providers Reimbursement Rates Accept Medicare-approved rates as full […]

Navigating Medicare Guidelines for ASCs: A Human-Centered Approach with MBC

Staying compliant with Medicare Guidelines for ASCs isn’t just about checking boxes—it’s about protecting your ASC’s financial health and patient trust. At Medical Billers and Coders (MBC), we’ve spent 25 years turning complex regulations into actionable strategies. Let’s break down what you need to know with real-world insights to help your center thrive. 1. County […]

OB-GYN Practices & Telehealth: How CMS’s 2025 Changes Impact Maternity Care

The Centers for Medicare & Medicaid Services (CMS) has rolled out some significant updates for 2025 that are set to shake up how OB-GYN practices and telehealth providers deliver maternity care, especially regarding telehealth. These changes are all about making care more accessible, improving reimbursement rates, and ensuring better outcomes for moms-to-be. Let’s break down […]

Medical Billing for Large Practices: A Comprehensive Guide

Introduction Running a large medical practice is no small feat. Between juggling patient care, staying compliant with ever-changing regulations, and keeping the lights on, medical billing can feel like a never-ending puzzle. But here’s the thing: efficient and accurate billing isn’t just about numbers—it’s the backbone of your practice’s financial health. At Medical Billers and […]

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