Medical Billing and RCM Blogs

CMS’s 2025 Value-Based Updates: How Hospitalists & ASCs Can Stay Profitable

As the Centers for Medicare & Medicaid Services (CMS) continues to refine CMS’s 2025 Value-Based Updates, hospitalists and ambulatory surgery centers (ASCs) must adapt to maintain profitability. CMS’s 2025 Value-Based Updates impact reimbursement, performance metrics, and quality reporting. Understanding CMS’s 2025 Value-Based Updates and optimizing hospitalist billing and ASC billing and coding will be key […]

Acupuncture Billing and Coding Guide CPT Codes, Modifiers, and Reimbursement Tips

Acupuncture is a widely recognized alternative therapy that involves inserting thin needles into specific points on the body to alleviate pain and promote healing. While it has gained popularity in the medical field, billing and coding for acupuncture services can be complex. To ensure accurate reimbursement and compliance with CMS guidelines, medical providers must use […]

Primary Care Billing Transformed: New EM & Telehealth Rules for 2025

With the latest Evaluation and Management (E/M) and Telehealth billing rules for 2025, primary care providers must stay updated to ensure compliance with CMS (Centers for Medicare & Medicaid Services) regulations. The changes focus on expanded telehealth services, streamlined documentation, and revised reimbursement policies. Understanding these updates is crucial for maximizing reimbursements while ensuring accurate […]

Overcoming Denied Claims in Substance Use Disorder Billing: CMS’s New Coding Standards

Accurate billing and coding for Substance Use Disorder (SUD) services have always been challenging, especially with frequent changes in CMS regulations. Denied claims can result in delayed reimbursements and financial losses for providers. Understanding and implementing CMS’s new coding standards is crucial for maximizing revenue and reducing claim denials. Key CMS Updates in Substance Use […]

5 Signs It’s Time to Switch Your Oncology Billing Company

Oncology billing is one of the most complex areas in medical billing, requiring expertise in intricate coding, frequent regulatory updates, and strict compliance guidelines. A reliable billing partner is crucial for maintaining financial stability and operational efficiency. However, if your practice is experiencing consistent revenue losses, high claim denials, or communication breakdowns, it may be […]

Recovering $1.2M in Legacy AR: Proven Strategies for Hospitals

How We Recovered $1.2M in Stuck Legacy AR for a Regional Hospital

Accounts Receivable (AR) is the lifeblood of any healthcare organization. However, many hospitals and physician practices struggle with stuck legacy AR—aging claims that remain unpaid due to denials, administrative errors, or inefficiencies. One regional hospital faced a backlog of $1.2M in unpaid AR, creating financial strain and operational inefficiencies. At Medical Billers and Coders (MBC), […]

SNF Billing Basics: Understanding Resident Costs in Light of CMS’s Recent Guidelines

Understanding the billing processes in Skilled Nursing Facilities (SNFs) is crucial for residents and their families to manage healthcare expenses effectively. The Centers for Medicare & Medicaid Services (CMS) regularly updates guidelines that directly impact resident costs. In this blog, we’ll explore the fundamentals of SNF billing and highlight key changes from CMS’s recent guidelines. […]

New Pediatric Billing Codes: What CMS’s 2025 E/M Updates Mean for Your Practice

Brought to You by MBC At MBC, we understand that running a pediatric practice is no small feat. With the upcoming CMS updates to evaluation and management (E/M) guidelines set for 2025, including brand-new pediatric billing codes, we know you might have questions about what these changes mean for your day-to-day work. We aim to […]

Navigating Wound Care Billing in 2025: A Human-Centered Guide to Staying Compliant and Thriving

Wound Care Billing in 2025 The world of healthcare is changing fast, and wound care is no exception. Wound Care Billing in 2025 will be impacted as over 8.5 million Americans rely on advanced wound treatments due to rising rates of diabetes, obesity, and an aging population. But while innovations like bioengineered skin grafts and […]

Updated Analysis of PAR vs. Non-PAR Medicare Providers with 2025 Changes

PAR vs. Non-PAR Medicare Providers The distinction between Participating (PAR) and Non-Participating (Non-PAR) Medicare providers remains critical for financial planning and patient care. Below is an updated overview incorporating 2025 Medicare changes from the CMS Final Rule and other recent updates: 1. Key Differences Between PAR and Non-PAR Providers Aspect PAR Providers Non-PAR Providers Reimbursement Rates Accept Medicare-approved rates as full […]

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