How Outsourcing Urology Billing Increased Collections by 18% in Six Months
A Texas urology practice struggled with stagnant collections despite consistent patient volume. After outsourcing its billing operations, the practice improved claim accuracy, reduced denials, recovered $238,000 in missed revenue, and increased collections by 18% within six months.
What Was Causing 1 in 4 Cardiology Imaging Claims to Be Delayed?
A growing cardiology imaging program was performing more studies than ever, yet reimbursements continued to lag. This case study reveals how authorization mismatches, medical necessity reviews, and payer workflow bottlenecks caused nearly 25% of imaging claims to be delayed—and how targeted revenue cycle interventions helped recover over $500,000 while reducing payment delays by 64%.
Case Study: Increasing RAF Accuracy by 18% for HCC Coding Review
A Medicare Advantage provider with 25,000+ members improved RAF accuracy by 18% through retrospective HCC coding reviews, provider education, and ongoing coding audits. The initiative also increased HCC capture rates by 14% and reduced coding discrepancies by 35%.
Case Study: Reducing RADV Audit Risk Through Comprehensive HCC Coding Audits
A Medicare Advantage physician network facing significant RADV audit exposure improved HCC coding accuracy from 82% to 96% through comprehensive coding audits, provider education, and documentation improvements.
How We Recovered $180,000 in Aging Urology Claims Older Than 120 Days
A multi-provider urology practice was struggling with over $180,000 in outstanding claims aged beyond 120 days. Through focused denial resolution, payer follow-up, documentation recovery, and strategic A/R management, MBW RCM helped recover significant lost revenue, reduce aging balances, and improve cash flow within 120 days.
How a Hospital Identified $487,000 in Lost Revenue from General Surgery Billing
A detailed case study showing how a hospital improved collections, reduced denials, and recovered nearly half a million dollars through strategic general surgery billing improvements.
Fixing 38% Underpayment in Nerve Block & Epidural Claims in Pain Management Billing
A pain management practice faced a 38% underpayment rate in nerve block and epidural claims despite clean submissions. Through targeted billing corrections, we helped identify and fix reimbursement gaps to recover lost revenue and improve collections.
Case Study: Recovering $420K Annually from Claim Denials in ASC Billing
MBW RCM partnered with a Texas-based ASC facing a 24% claim denial rate and ongoing revenue loss. By addressing gaps in documentation, modifiers, and authorizations, we implemented a structured denial management approach. This reduced denials to 9% and delivered $420K in annual revenue recovery.
Orthopedic Billing Case Study: Increasing Collections by 28% Without Adding Staff
In this case study, our team helped an orthopedic practice increase collections by 28% by correcting coding errors, resolving NCCI issues, and optimizing AR workflows—without adding staff.
Case Study: Resolving Ophthalmology NPI/TIN Mismatches to Prevent Out-of-Network Losses
An ophthalmology practice in New York faced major reimbursement issues when incorrect NPI/TIN setup caused in-network claims to process as out-of-network. MBW RCM identified the mismatch, corrected the provider configuration, and helped the practice prevent further revenue loss.