Non-Covered Charges & Missing Patient Acknowledgments
A New York ophthalmology practice faced repeated denials for refractions and diagnostic tests due to missing patient acknowledgments. MBW RCM implemented refraction policies, ABN procedures, and upfront collection workflows to prevent non-covered write-offs and protect revenue.
How We Fixed Patient Registration Delays in the Emergency Department
Read our case study detailing how we fixed patient registration delays in the Emergency Department for optimal patient satisfaction.
Improving ED collections by resolving coding
Our client, a mid-sized hospital group, faced challenges getting reimbursed for ED visits. Sub-optimal client documentation processes led to delayed payments and reduced reimbursements. Our initial analysis revealed that delayed billing was the root cause. We conducted an exhaustive internal audit of 30 physicians working across two facilities in Washington and Florida. In this case study, we highlight how improved clinical documentation and coding quality lead to increased reimbursements.
Getting Reimbursed for COVID testing of uninsured
Amidst the uncertainties of the pandemic, our client, a healthcare provider in Central Florida, had launched Covid-19 testing for both insurers and non-insured patients. Although the client got reimbursed successfully for the insured patients’ claims, they were looking for a third-party RCM management company like MBW to help them submit claims electronically under the HRSA program. In this case study, read more about how our team helped collect $60k with a first-pass claim submission rate for Covid testing under the HRSA program.