Insights
How Do Annual CPT Code Updates Affect Medical Billing?
Annual CPT code updates add, revise, and delete hundreds of codes every January. Practices must update their charge masters.
Read article →MB Claims insights
Medical Billing & Revenue Cycle Blog
Practical guidance for practice owners, administrators and revenue cycle teams. Each published guide emphasizes clear workflows, primary sources, update dates and actions your team can take—without promising reimbursement outcomes.
Published guides
Start with these cornerstone articles
Denial management, enrollment clarity, A/R interpretation, eligibility, timely filing, modifiers, CAQH maintenance and specialty denial prevention—built for decision-makers researching outsourcing partners.
Insights
What Is a Clearinghouse Rejection vs a Payer Denial?
A clearinghouse rejection means your claim never reached the payer because it failed front-end edits. You correct the error and resubmit the same claim.
Read article →Insights
How Do You Appeal a Medical Necessity Denial?
Match the denial to the payer's policy, gather documentation showing the criteria were met, submit a clear appeal before the deadline, and track the outcome.
Read article →Insights
Why Do Credentialing Applications Get Rejected by Payers?
Credentialing applications get rejected when payers find incomplete documentation, NPI mismatches, missing attestations, expired licenses, or discrepancies.
Read article →Insights
What Is Coordination of Benefits and Why Do Claims Deny?
Coordination of benefits (COB) is the process insurers use to decide which plan pays first when a patient has coverage under two or more policies.
Read article →Insights
How Do You Handle Credit Balances and Patient Refunds?
Review credit balances regularly, identify whether the overpayment belongs to the patient or payer, and issue refunds promptly following contract terms.
Read article →Insights
What Does Ongoing Credentialing Maintenance Involve?
Maintenance means tracking expiring licenses and certificates, keeping CAQH attested, updating payers on address or tax ID changes, and meeting.
Read article →Insights
What Should a Year-End Billing Close Checklist Include?
Clear unbilled encounters, work open denials, resolve credit balances, reconcile payments, and document aged AR so your year closes cleanly.
Read article →Insights
How Can Practices Negotiate Reimbursement Rates With Payers?
Practices negotiate reimbursement rates by presenting volume, quality, access, and CPT data. Send a written proposal with rate targets before renewal.
Read article →Insights
How Do You Track Credentialing Status Across Many Payers?
Keep one tracker with each payer's submission date, reference number, last follow-up, and next action. Follow up on a schedule until approval.
Read article →Operations
What Is Charge Capture? Why Practices Miss Charges
How missed charges happen and how to catch them before claims go out.
Read article →Operations
What Is a Payer Fee Schedule Review?
Why fee schedule reviews matter for contracted reimbursement.
Read article →Operations
How Year-End Payer Policy Updates Affect Claims
What changes at year-end and how to keep claims clean.
Read article →Operations
When Should Provider Credentialing Start for a January Hire?
Plan credentialing backward from a January start date.
Read article →Operations
How Do You Add a Provider to an Existing Group Contract?
Steps to add a provider to an existing payer group contract.
Read article →Denial Management
A Practical Guide to Medical Billing Denials
Categorize medical claim denials, prioritize recoverable balances, prevent repeat failures, and build an accountable denial workflow.
Read article →Credentialing
Provider Enrollment vs. Credentialing
Understand credentialing, payer enrollment, contracting, and directory maintenance—and why each needs separate tracking.
Read article →Revenue Cycle
How to Read an A/R Aging Report
Review medical A/R aging by payer, claim status, balance, filing deadline, and next action—not only bucket totals.
Read article →Medical Billing
Eligibility Verification Checklist
A practical eligibility checklist for medical practices: what to verify, when to re-check, and how to prevent denials.
Read article →Denial Management
Timely Filing Limits by Payer Type
Track timely filing by Medicare, Medicaid, and commercial payer type so denial teams protect recoverable balances.
Read article →Medical Billing
Modifier 25 and 59 Pitfalls
Avoid common modifier 25 and 59 outpatient billing pitfalls with documentation checks, NCCI awareness, and denial review.
Read article →Credentialing
CAQH Re-Attestation Guide
Keep CAQH profiles attestation-ready: documents, deadlines, common stalls, and how CAQH differs from payer enrollment.
Read article →Credentialing
Medicare vs Medicaid Enrollment Paths
Compare Medicare PECOS and state Medicaid enrollment paths, including why managed-care contracting stays separate.
Read article →Medical Billing
Medical Billing Company Pricing Explained
Educational overview of medical billing company pricing models and ranges—without fake guarantees or invented quotes.
Read article →Revenue Cycle
Medical Billing vs RCM
Compare medical billing and revenue cycle management so practices choose the right scope for ownership and reporting needs.
Read article →Denial Management
Behavioral Health Denial Prevention
Prevent behavioral health denials tied to telehealth POS, session limits, carve-outs, documentation, and enrollment lag.
Read article →About MB Claims
What Is MB Claims?
MB Claims is a US medical billing and RCM company—not an auto insurance bureau. Services, contact, and how we differ from similarly named organizations.
Read article →Behavioral Health
Psychiatry vs Therapy Billing
Separate psychiatry and therapy billing workflows: E/M vs psychotherapy, same-day combinations, rendering providers, and common denial traps.
Read article →Behavioral Health
Behavioral Health Telehealth Billing
Align telehealth place of service, modifiers, and payer policy with documented behavioral health encounters to prevent denials.
Read article →Credentialing
LCSW, LPC, LMFT Credentialing
Credential and enroll LCSW, LPC, and LMFT clinicians: CAQH, payer panels, Medicaid pathways, and roster timing before first claims.
Read article →Denial Management
BH Carve-Out Routing Checklist
Stop wrong-payer behavioral health denials with an eligibility checklist for carve-out vendors, plan IDs, and claim routing.
Read article →Behavioral Health
Collaborative Care Billing Basics
Operational basics for Collaborative Care Model billing: team roles, documentation, monthly billing readiness, and common denial traps.
Read article →Denial Management
Mental Health Parity Appeals Workflow
A practical parity appeal workflow for behavioral health denials: categorize remits, gather evidence, choose corrected claim vs appeal, and track deadlines.
Read article →Behavioral Health
BH CPT Documentation Pitfalls
Avoid common behavioral health CPT and documentation pitfalls: time support, E/M plus psychotherapy, add-on misuse, and denial feedback loops.
Read article →Denial Management
PHP/IOP Authorization Denials
Reduce PHP and IOP authorization denials with intake checks, concurrent review tracking, documentation readiness, and denial categorization.
Read article →Medical Billing
Choosing a BH Billing Company
Evaluate behavioral health billing companies on specialty depth, auth tracking, carve-outs, enrollment, reporting, and honest scope—not fake collection guarantees.
Read article →Medical Billing
Outsourced vs In-House Billing
Compare outsourced and in-house medical billing using ownership, specialty complexity, denial capacity, enrollment coverage, and reporting—not slogans.
Read article →Revenue Cycle
Clean Claim Rate vs Net Collections
Understand why clean claim rate and net collections measure different things—and which operational KPIs practices should track instead of vanity metrics.
Read article →Medical Billing
Billing Vendor Onboarding Checklist
A practical onboarding checklist for medical billing vendors: access, ownership maps, payer mix, specialty rules, denial inventory, and reporting cadence.
Read article →Urgent Care
Urgent Care Charge Capture Checklist
An urgent care charge capture checklist for same-day procedures, eligibility timing, E/M plus procedure pitfalls, and denial prevention.
Read article →EHR Billing
Epic Medical Billing Support
How MB Claims supports medical billing inside Epic workflows without rip-and-replace—access, charge review, denials, and reporting ownership.
Read article →EHR Billing
eClinicalWorks Billing Support
Practical eClinicalWorks billing support guidance: charge entry, scrubbing, denial follow-up, and ownership maps without replacing your EHR.
Read article →Free medical billing audit
Find the revenue cycle gaps holding back your practice
Send summary reports (A/R aging by payer, denial summary, monthly collections). Within 5 business days, you'll get a written review of where your revenue is stuck, what to fix first, and your rate. No patient data is needed.