In-House vs Outsourced ASC Billing: The True Cost Comparison for a 6-OR Facility

For a 6-OR ASC, outsourced ASC billing with Medical Billers and Coders (MBC) typically costs less than an in-house team on a fully loaded basis. That holds once you count staffing, benefits, and turnover risk. However, the breakeven point still depends on collection volume and case complexity. Key Takeaways What “Cost” Actually Means for a […]

Best Outsourced Medical Billing Services in the US: The Complete 2026 Guide

Outsourced medical billing services in the US typically cost 5–8% of collections. In-house billing runs 8–12% once salaries, benefits, software, training, and turnover are counted. The bigger difference is what each model collects. A specialized partner with payer-specific denial management and specialty-certified coders can lift net collection rate from 87% to 94%. On $5 million […]

HIPAA’s Impact on Medical Billing and Credentialing

Medical Billers and CodersCatering to more than 40 specialties, Medical Billers and Coders (MBC) is proficient in handling services that range from revenue cycle management to ICD-10 testing solutions. The main goal of our organization is to assist physicians looking for billers and coders, at the same time help billing specialists looking for jobs, reach […]

CPT Codes for Digital E/M Service

In the 2020 CPT codes set, CMS six released new codes to report online digital evaluation services or e-visits. The codes describe patient-initiated digital communications provided by physicians or other qualified health professionals, codes are 99421, 99422, and 99423. Three others who describe similar interactions when they involve a nonphysician health professional are 98970, 98971, […]

Billing for Worker’s Compensation

Workers’ compensation billing is the process of billing an employer’s workers’ comp insurer, not the patient’s health plan, for treatment of a work-related injury or illness. Providers submit a CMS-1500 claim with the date of injury, the workers’ comp claim number, and supporting documentation, and follow fee schedules set by each state’s compensation board. Workers’ […]

What is Medicare Sequestration?

Providers seeing a 2 percent payment decrease on their Remittance Advice (RA) is due to a mandatory sequestration payment reduction. Claim adjustment reason code (CARC) 253 is used to report the sequestration reduction. The code will appear as a CO 253 on the RA ‘Sequestration-reduction in federal payment’ as the reason. For the Medicare Fee-for-Service […]

Handling Timely Filing (CO 29) Denials

Timely filing (CO 29) denials are handled in one of two ways: prove the claim reached the payer inside the filing window, or appeal with a valid, documented reason for the delay. CO 29 means the payer’s time limit for filing has expired, and that limit runs from the date of service. Insurance will deny […]

Handling Denial B9 with Modifiers GV and GW

Handling denial B9 with modifiers GV and GW starts with confirming the patient was enrolled in hospice on the date of service, then adding the modifier that fits the service. GV applies when an attending physician who is not employed or paid by the hospice treats the terminal condition, and GW applies when the service […]

Medical Nutrition Therapy (MNT) CPT Codes

Medical nutrition therapy (MNT) is a key component of diabetes education and management. MNT is defined as a ‘nutrition-based treatment provided by a registered dietitian nutritionist.’ It includes ‘a nutrition diagnosis as well as therapeutic and counseling services to help manage diabetes. Studies have documented an association between MNT delivered by a registered dietitian and […]

How to Increase Reimbursement for Telephone Calls?

CMS recently announced that it will provide parity in payment for telephone/audio-only services. Specifically, Medicare payment for the telephone evaluation and management visits would be equivalent to Medicare payment for office/outpatient visits with established patients’ effective March 1, 2020. This means that payment for CPT codes 99441-99443 would increase from a range of about $14-$41 […]

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