Medical Billers and Coders

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Medical Billers and Coders

Medical Billers and Coders is the largest consortium of Medical Billing and Coding Services in the United States.

11/25/2025

The Growing Storm: Latest U.S. Medical Billing Issues Frustrating Physicians in 2025

Physicians across the U.S. are feeling real pain in 2025 — tighter payer rules, more denials, staff shortages, and rising regulatory complexity are squeezing practices from all sides. Learn what’s driving this billing storm — and how to protect your revenue cycle.

Read the full blog here: https://bit.ly/4iqJWEw

11/25/2025

Knee replacement billing is one of the most complex challenges in orthopedic medicine. CPT 27447 claims range from $15,000-$30,000+, making them prime targets for audits.

Common pitfalls: incorrect modifiers, missing implant documentation, inadequate pre-authorization, failure to document complications/revisions, and bundled payment confusion. Billing errors cost thousands in lost revenue.

The complexity: multiple stages, high reimbursement values, strict documentation requirements, and episode-based payment models spanning 90+ days.

Specialized orthopedic billing expertise reduces AR by 30% through accurate coding, front-end verification, and systematic denial management. Stop leaving money on the table!

Read more: https://bit.ly/4omuYAH

Contact: 888-357-3226 / info@medicalbillersandcoders.com

11/24/2025

Why are clean claims still getting denied?

90% of denials are preventable, yet they cost $25-$117 per claim to rework. Hidden reasons: credentialing lapses, eligibility gaps, medical necessity misalignment, timely filing violations (90-365 days depending on payer), prior authorization oversights, and payer-specific coding requirements.

The real cost: cash flow disruption, staff burnout (20-30% time on denials), patient dissatisfaction, and compliance risks. Solutions: real-time eligibility verification, payer-specific claim scrubbing, authorization tracking, credentialing audits, and continuous education. Practices implementing these strategies reduce denials 25-30%.

Stop losing revenue!

Read more: https://bit.ly/3XiF7Dk

Contact: 888-357-3226 / info@medicalbillersandcoders.com

11/24/2025

OBGYN Credentialing in Weeks, Not Months: Get 6 Payers for the Price of 5

Credentialing delays can slow down reimbursements and affect your practice revenue.
Learn how to speed up your OBGYN credentialing process and get more payers onboard quickly without the usual wait.

Read the full blog here: https://bit.ly/4859hyI

11/21/2025

What Physicians Really Need at Year-End (It’s More Than Just Billing)

Year-end isn’t just about closing accounts or catching up on billing.
Physicians need clear financial visibility, clean claims, strong AR follow-up, and a plan to protect next year’s revenue.
It’s about smarter billing, better reporting, and stronger financial control.

Read more here: https://bit.ly/48sdXA7

11/21/2025

Prior authorization delays are killing medical billing profits!

Practices spend 2 business days per week managing authorizations, adding 15-20 days to payment cycles. The hidden costs: extended AR aging by 20-30 days, $10-15 per authorization in admin costs, higher denial rates (15-20%), reduced cash flow, and patient dissatisfaction.

Authorization delays directly increase denial rates due to incomplete documentation, expired authorizations, and coding discrepancies. Solutions: proactive authorization management, automated tracking systems, and specialized billing expertise.

Practices addressing authorization strategically reduce processing time 25-40% and improve cash flow.

Stop losing profits to authorization delays!

Read more: https://bit.ly/47UwQM6

Contact: 888-357-3226 / info@medicalbillersandcoders.com

11/20/2025

Is your wound care revenue cycle underperforming?

Common issues: inaccurate coding, insufficient documentation, low reimbursement rates, complex billing for procedures like debridement and NPWT, prior authorization delays, and high denial rates. Wound care compensation often doesn't align with resources required.

Solutions: accurate CPT coding (97597, 11042-11047), comprehensive documentation of wound size/depth/treatment, staff training on CMS guidelines, advanced billing software, regular audits, and denial management strategies. Practices optimizing wound care billing see 10-15% revenue increases and 30% AR reduction.

Stop underperforming—optimize your revenue today!

Read more: https://bit.ly/4oRJqlj

Contact: 888-357-3226 / info@medicalbillersandcoders.com

11/20/2025

Why Year-End Becomes the Toughest Phase for Primary Care Physicians

As the year ends, primary care practices often hit a financial crunch — billing gets more complex, claims pile up, and cash flow slows. Learn why this phase hurts your revenue and discover smart tips to survive & thrive.

Read the full blog here: https://bit.ly/4rbzzrX

11/19/2025

You’re Not Losing Revenue — You’re Blindly Giving It Away

Most healthcare practices don’t realize how much money slips away every day.
It’s not just about denied claims — it’s about missed codes, underbilling, poor documentation, and delayed follow-ups.

This silent revenue loss doesn’t shout — it just quietly drains your earnings.
Learn how to stop this hidden leakage and protect every dollar your practice deserves.

Read the full blog here: https://bit.ly/4o4w2sH

11/19/2025

HBOT billing is complex and high-risk for denials.

Common challenges: insufficient documentation, prior authorization delays, coding accuracy issues, and medical necessity denials. Payers scrutinize HBOT claims intensely due to multi-week treatments generating substantial costs.

Success requires comprehensive documentation protocols, proactive authorization management, coding excellence, and robust appeals strategy. CPT 99183 covers physician attendance.

Medicare approves HBOT for specific FDA-approved conditions only. Practices partnering with specialized billing experts achieve 30% AR reduction.

Stop leaving money on the table.

Read the complete guide: https://bit.ly/4492eny

Contact: 888-357-3226 / info@medicalbillersandcoders.com

11/18/2025

Plastic Surgery Billing Services: Get Your First Month FREE

Are billing delays and claim denials affecting your plastic surgery revenue?
Learn how expert billing support can help you improve collections, reduce AR backlogs, and boost clean claim approvals.

Plus, get your first month absolutely FREE to experience the difference without any risk.

Read the full details here: https://bit.ly/43ANvla

11/18/2025

US healthcare denial rates are climbing, costing practices thousands monthly in lost revenue. Common denial reasons: authorization issues, coding errors, documentation deficiencies, duplicate claims, and timely filing violations.

Successful appeals require systematic approach: categorize denials, prioritize high-dollar claims, submit within 30-90 day deadlines, and include comprehensive documentation.

Industry data shows 50-65% of appeals succeed with proper strategies. Practices implementing effective denial management see 30% AR reduction.

Don't leave money on the table. Master the appeals process today.

Read more: https://bit.ly/4nY9gT9

Contact: 888-357-3226 / info@medicalbillersandcoders.com

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539 W. Commerce Street #1482
Dallas, TX
75208

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(888)3573226

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