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Bariatric Surgery Denial Rates and RCM Benchmarks: KPIs and Best Practices

“In bariatric billing, you’re either running a tight ship or bailing water with both hands.” That’s how one RCM director described the chaos of managing high-volume surgical claims without the right systems in place. And she’s not wrong. Bariatric surgery is a top-growth surgical line, but also one of the riskiest when it comes to […]

West Nile Virus Medical Billing and Coding: A Practical Guide for Accurate Reimbursement

At MBW RCM, we understand that accurate diagnosis coding is the backbone of clean claims and proper reimbursement. As West Nile virus (WNV) cases rise seasonally, providers and billing teams must be equipped with the correct ICD-10-CM codes to capture the full clinical picture—and receive appropriate reimbursement. This comprehensive guide outlines how to code WNV-related […]

Shifting the Focus from Denial Management to Denial Prevention

The adage, “Prevention is better than cure”, does apply to Claim Denials as well. An effective denial prevention program requires an iterative process that includes identification of root cause, finding solutions to prevent the issue from recurring in the future, the institutionalization of these procedures through updates to standard operating procedures, and training the staff on these practices. In this whitepaper from Medical Billing Wholesalers, we bring you a few steps that you can take to prevent denials.