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revenue cycle management

Medical Billers and Coders (MBC): Leading Orthopedic Billing Services Provider

Medical Billers and Coders (MBC): Leading Orthopedic Billing Services Provider

Challenges in Orthopedic Billing Orthopedic billing is a complex and challenging task that requires expertise in medical billing and coding. Compared to other specialties, orthopedic billing is even more complicated and requires a deeper understanding of the services provided by orthopedic providers. The billing team needs to carefully document and charge for all services provided, […]

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Can In-Network Provider Balance Bill?

Can In-Network Provider Balance Bill?

In-network providers generally cannot balance bill patients. When a healthcare provider participates in an insurance network, they agree to accept the insurer’s contracted rates as payment in full for covered services. This means that the provider cannot charge patients for the difference between their usual fees and the lower rates negotiated with the insurer. An […]

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Understanding Claim Denials in Plastic Surgery

Understanding Claim Denials in Plastic Surgery

Claim denials in plastic surgery can have several negative consequences for the patient and the plastic surgeon. Apart from financial losses, they could lead to delayed treatments, increased administrative burden, negative impact on patient satisfaction, and overall damage to the plastic surgeon’s reputation. Plastic surgeons must work closely with insurance companies to ensure that claims […]

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Why Providers are not hiring an In-House Medical Billing Team?

Why Providers are not hiring an In-House Medical Billing Team?

There are several reasons why healthcare providers are not hiring an in-house medical billing team. The reasons include high cost, limited expertise, high employee turnover, and compliance risk. Limitations of In-House Medical Billing Team There are several limitations of having an in-house medical billing team, including: Cost: Maintaining an in-house billing team can be expensive. […]

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Outsourcing General Surgery Billing: Need of an Hour

Maximize Revenue with Outsourcing General Surgery Billing - MBC

Outsourcing general surgery billing can be a good solution for medical practices looking to streamline their operations and reduce administrative burdens. Outsourcing general surgery billing can provide numerous benefits for medical practices. It can increase revenue, reduce costs, improve efficiency, ensure compliance with regulations, and allow medical practitioners to focus on patient care. Challenges of […]

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Billing Gastroenterology Procedures is not that Easy!!

Billing Gastroenterology Procedures is not that Easy!!

Billing for gastroenterology procedures can be challenging due to complex coding requirements, billing multiple payers, limited insurance coverage, and other challenges like documentation requirements, changing regulations, and prior-authorization requirements. It is important for healthcare providers to have a thorough understanding of these factors to ensure proper billing and avoid denials and appeals. Following are some […]

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Outsourcing Family Practice Billing can Ensure Financial Sustainability

Outsourcing Family Practice Billing can Ensure Financial Sustainability

Family Practice’s Financial Challenges Owning and operating a family practice can be financially challenging. Significant reasons for such financial challenges include declining reimbursements, increasing overhead costs, unpaid patient balances, staffing costs, regulatory compliance costs, and many other costs incurred during the day-to-day operations of family practice. To ensure family practice’s financial sustainability, practice owners may […]

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Increasing Wound Care Reimbursements

Increasing Wound Care Reimbursements

Increasing wound care reimbursements can be challenging, as it involves multiple stakeholders such as insurance companies, healthcare providers, and policymakers. However, there are several strategies that can be used to address these challenges, including: 1. Partnering with Wound Care Specialists Partnering with wound care specialists can be a great way to increase practice revenue, as […]

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Benefits of Outsourcing Accounts Receivable in Medical Billing

Benefits of Outsourcing Accounts Receivable in Medical Billing

Accounts Receivable in Medical Billing Accounts Receivable in medical billing is retrieving of payments due by the insurance and patients to the physician for the delivered services. For the long-term financial sustainability of your practice, it’s crucial to keep accounts receivable under check. Accounts receivable are categorized as the number of days the payment hasn’t been […]

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7 Ways to Reduce Revenue Leakage in Medical Billing

7 Ways to Reduce Revenue Leakage in Medical Billing

Revenue Leakage in Medical Billing ‘Revenue leakage’ refers to situations where a healthcare provider doesn’t receive insurance reimbursement for delivered services. In such billing situations, accounts receivable remain unpaid for too long and eliminate the chances of payment recovery, even partially. Healthcare practices cannot afford to ignore their revenue leakage as it’s directly affecting their […]

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