Exploring Alternative Routes for Getting Paid from Indiana Medicaid Program

This article describes how the MBW accounts receivable and calling team worked to fix the problem in submitting the primary claims to Indiana Medicaid by looking for an alternative way to submit the claims, thereby preventing timely filing issues and obtaining payment duly.
Accounts Receivable Challenges in USA and How to Overcome Them

Most Central Billing Offices (CBOs) and outsourced billing companies rely on dedicated accounts receivable calling to overcome their receivables’ challenges. Running an AR calling team needs a solid understanding of the receivables patterns and diligent processes to follow-up and close underlying issues. In this article, we list some of the critical operational issues and solutions to overcome them.
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.