How an Indiana Family Practice Unlocked $401,860 in Missed Revenue

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How an Indiana Family Practice Unlocked $401,860 in Missed Revenue Many family medicine practices assume that stable patient volume means their revenue cycle is performing well. However, one Indiana family practice discovered that a significant amount of earned revenue was being delayed, underpaid, or left uncollected. Through a comprehensive revenue cycle review, the practice identified hidden billing gaps and ultimately recovered $401,860 in missed revenue . This case study demonstrates how specialized family practice billing services,  comprehensive medical billing services , advanced RCM services , and proactive revenue integrity  can transform the financial performance of a primary care practice without increasing patient volume. Practices interested in the full client success story can read How MBC Recovered $401,860 for This Family Practice for Additional Details on the Recovery Process and Financial Outcome. The Challenge: Revenue Was Slipping Through the Cracks The p...
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General Surgery Medical Coding Steps to Avoid Denials

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Physicians in general surgery are facing an uphill task of medical billing keeping in check the different needs of the facilities and keeping a tab on the effective revenue cycle management to look for frequent denials and which of the claims need more efficient coding. The channel of insurance payment has been one of the most straining factors for general surgery physicians today affecting the bottom line of the revenue and in turn affecting the facility.  Individual physicians have the high cost of staffing and also revenue management which has led to many of them being absorbed by groups acquired by the hospital. General Surgery is one such facility that has seen a rise in individual costs and most of the facilities are either in the group or combined with hospitals.

Tracking different types of patient care from appointment scheduling to registration and different steps for collection of the balance fall under the revenue cycle management. The healthcare revenue cycle is a financial system that has brought in the work of administrative and clinical functions associated with billing. The process happens to take into consideration different data points which are coded into a format that helps the understanding of an insurance company. These codes are usually laid by the Center for Medicare and Medicaid Service (CMS) and also the price value of each procedure or diagnostic is decided beforehand to help cover the cost and also a margin of profit for the doctors.

If you want to read the complete blog then click below: General Surgery Medical Coding Steps to Avoid Denials


Location: Louisiana, USA

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