Impact of Medicare Rules on Family Practice Billing

Understanding How Medicare Rules Transform Family Practice Revenue The impact of Medicare rules on family practice billing has become increasingly complex as regulations evolve and reimbursement models shift. Family practice physicians face constant challenges navigating Medicare’s documentation requirements, coding updates, and compliance mandates that directly affect their bottom line. Medical Billers and Coders (MBC) has […]

Fast & Hassle-Free Prior Authorization for Plastic Surgery in Delaware

Getting Prior Authorization for Plastic Surgery in Delaware can be a time-consuming and frustrating process. With insurance companies imposing strict requirements, missing documentation or coding errors can lead to delays or denials. To avoid these issues and ensure smooth approvals, it’s essential to have an efficient process in place. Why Prior Authorization is Crucial for […]

Pediatric Coding Guidelines for Chronic Conditions and Long-Term Care

Accurate coding plays a crucial role in ensuring proper reimbursement and compliance in pediatric healthcare. With evolving Pediatric Coding Guidelines, providers must stay updated on the latest changes to avoid claim denials and revenue losses. Chronic conditions and long-term care require detailed documentation, making it essential to follow CMS guidelines and best practices for accurate […]

CMS’s 2025 Value-Based Updates: How Hospitalists & ASCs Can Stay Profitable

As the Centers for Medicare & Medicaid Services (CMS) continues to refine CMS’s 2025 Value-Based Updates, hospitalists and ambulatory surgery centers (ASCs) must adapt to maintain profitability. CMS’s 2025 Value-Based Updates impact reimbursement, performance metrics, and quality reporting. Understanding CMS’s 2025 Value-Based Updates and optimizing hospitalist billing and ASC billing and coding will be key […]

Key Metrics for Monitoring Wound Care Billing Performance

Monitoring wound care billing isn’t just about keeping your finances in check—it’s about unlocking hidden opportunities to boost your practice’s revenue. What if simple adjustments in how you track billing performance could significantly reduce claim denials? Imagine recovering revenue you didn’t even know you were losing, simply by focusing on the right metrics. Are you […]

Prior Authorization: A Key Step in Streamlining Medical Billing and Patient Care

Prior Authorization in Medical Billing Prior Authorization in Medical Billing has become essential in managing patient care and billing in the fast-evolving healthcare sector. As a fundamental process in medical billing, prior approval serves as a checkpoint that ensures the patient’s insurance covers a procedure, service, or medication before it’s administered. This step is crucial […]

Add Millions Annually with MBC’s Dermatology Billing

Are you tired of losing revenue due to frequent billing errors and claim denials in your dermatology practice? As a dermatologist, you face unique challenges in managing complex billing processes while trying to deliver exceptional patient care. The good news is that with Medical Billers and Coders (MBC), a leading billing and coding service provider, […]

Decoding Prior Authorization for Streamlined ASC Operations

Each outpatient medical treatment requires prior authorization for streamlined ASC. The process involves submitting insurance claims and getting paid for treatments or operations provided by a doctor or an ASC. ASC billing requires several steps, making the process convoluted and time-consuming. All claims must be valid and contain all necessary information to avoid delays in […]

Tackling the Challenges of Claims Denials: Insights for Healthcare Providers

Challenges of Claims Denials Claims denials are a major challenge for healthcare providers in the United States. According to the Medical Group Management Association (MGMA), the average claim denial rate in 2023 is 7.5%. This means that for every $100 in claims submitted, healthcare providers are losing an average of $7.50 to denials. But why […]

Pre-Authorization in Medical Billing: Streamlining RCM Processes

In the complex landscape of medical billing, pre-authorization plays a crucial role in ensuring effective communication between healthcare providers, insurance companies, and patients. Pre-authorization serves as a mechanism to validate and approve medical procedures, treatments, and services before they are performed or availed. This article explores the concept of pre-authorization in medical billing, its types, […]

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