Best Practices in filing Physician Assistant Claim enable Recovery of over $80 K in out-of-network claims
Recovering claim dues from payers for physician assistance claims requires intricate knowledge of payer-specific guidelines. Medical Billing Wholesalers’ denials research team helped the client identify and resolve out-of-network claims.
With a focus on recovering denials of PA claims from UHC and Oxford, we rebilled the claims after adhering to the payer-specific guidelines and were able to recover over $80K of A/R, while reducing the monthly denials from 73 to 11.
Denial Management Infographic
Get the statistics for claim denials and strategies for preventing them in this Denial Management infographic from MBW RCM
Medical Coding & Best Practices Guide – Podiatry
Podiatry billing can be complicated in many ways, beginning the need to determine and prove the medical necessity of the treatment, to the coding nuances. It demands meticulous use of modifiers and an understanding of coding for inclusive procedures. In this guide, MBW RCM bring you the guidelines & best practices to be followed to increase collections of your Podiatry practice.
Have you downloaded our RCM E-books?
It can be difficult for most healthcare organizations to keep up with healthcare regulations and payer-specific business rules and develop responses to these changes to transform their revenue cycle. In this E-Books edition of our newsletter, we bring you some of our best e-books written by our experts who manage denial management billing, coding, account receivable and processes. Explore tips and best practices to bring sustainable improvement to your front, middle, and back-end revenue cycle processes.
How to improve key RCM metrics?
The healthcare industry has an increasingly complicated reimbursement system that is unlike any other sector in business. This level of complication demands healthcare organizations to consistently track their RCM metrics. To keep track of your organization’s financial health, you can leverage the various automation technologies available and obtain a bird’s eye view of your overall performance. In this edition of Revel, we bring you the topmost RCM metrics you should survey to maintain a strong reimbursement process.
Revenue Per Encounter – The Top Revenue Cycle Metric
Revenue per encounter can be defined and computed by dividing net collections by the total number of patient visits in a given month. This metric can provide a quick view of the health of your revenue cycle. In this newsletter, from Medical Billing Wholesalers, learn more about how to calculate and increase Revenue per encounter.
Physician Credentialing: A Quick Reference
Physician credentialing is the process of obtaining, verifying, and assessing the qualifications of a medical practitioner to be able to provide medical services. Credentials are documented evidence of licensure, education, training, experience, or other qualifications of the medical practitioner. In this newsletter, MBW RCM, brings you a few tips on successful provider credentialing
Special Edition – Revenue Cycle Industry Case Studies
In this special edition newsletter from MBW RCM, explore tips and strategies to improve front-end collections, transform your front-office processes, eliminate revenue leakage through improved medical coding, reduce denials through systematic correction of the root-causes, reduce out-of-network denials through improved credentialing, and more.
Podiatry Billing 101 : How to improve collections?
Podiatry billing can be complicated in many ways – beginning with the need to determine and prove the medical necessity of the treatment, to the many nuances of medical coding. It demands meticulous use of modifiers and an understanding of coding for inclusive procedures. In this guide, MBW RCM bring you the guidelines & best practices to be followed to increase collections for your Podiatry practice.
Infographic and White paper: Shift Focus from Denial Management to denial prevention
In this newsletter from MBW RCM, we bring you the statistics & strategies that can help you drive the change from denial management to denial prevention.