Top Claim Denial Reasons by Specialty Across Medical Billing for Every Practice
Claim denials vary by specialty, payer rules, and documentation standards. Explore the top claim denial reasons by specialty and practical fixes to prevent revenue loss.
Top 5 Payment Posting Exceptions That Hurt Healthcare Revenue in 2026
Payment posting exceptions—such as partial payments, unexplained write-offs, and denial codes—often create confusion and revenue leakage. In this guide, we outline clear strategies to standardize exception handling, protect accuracy, and keep your revenue cycle running smoothly.
Is Outsourcing Medical Billing Right for Your Small Practice?
Is outsourcing medical billing right for your small practice? Learn the pros, cons, and key considerations to streamline revenue cycle management, reduce costs, and improve patient care.
Top 5 Reasons for Clinical Denials and How to Address Them
Clinical denials drain billions from healthcare each year, often due to preventable errors. From lack of medical necessity to documentation gaps and authorization issues, small mistakes cause major revenue loss. This guide highlights the top five denial reasons and proven strategies providers can use to prevent denials and protect financial health.
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 […]
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.
Denial Management in Bariatric Surgery: Tips to Reduce Risk and Improve Collections
Explore the root causes of bariatric surgery denials and how your RCM team can reduce write-offs, speed up payment, and protect margins with proactive strategies.
“DNFB” is Not a Swear Word: How to Master the Discharges Not Fully Billed Report
DNFB reports may look like back-office paperwork, but they reveal where your revenue cycle is stuck. Learn how managing Discharges Not Fully Billed impacts cash flow and financial health.
Beyond the Check: Why Accurate Payment Posting is Your Most Critical Task
Payment posting often gets overlooked, but it’s the backbone of revenue cycle success. Accurate posting safeguards cash flow, strengthens denial management, and builds patient trust.
Top 4 Reasons for Physical Therapy Claim Denials and Solutions
Denied claims are the type of claims that were received and processed by the insurance payer and a negative determination was made. It is no wonder that in Physical Therapy there are a greater number of denied claims compared to any other specialty. Read more about reasons for claim denials in Physical Therapy and ways to rectify them.