Author name: Addison Barnes

Insurance policies are already quite complex. To make matters worse, around 43 million people (mostly senior citizens) have more than one insurance plan, according to the United States Census Bureau. Due to this, many healthcare professionals fail to identify their patients’ primary and secondary insurance coverages. As a result, they submit claims to the wrong

Understanding the alphanumeric denial codes is your key to contesting the rejected reimbursement.  In today’s guide, we will decode the CO 167 denial code and help you comprehend why a payer triggers it, what can be done to prevent it, and how you can reverse it.  So, brace yourself as we navigate the maze of

As a healthcare provider, you spend most of your time seeing and tending to patients.  Charting patient symptoms, drawing diagnoses, and deciding on the best treatment plans while keeping the patient engaged are necessary to keep your MIPS score high.  Already, keeping the billing and payment cycle optimized for faster reimbursements is a constant struggle.

Claim denials and reimbursement delays can keep any healthcare provider up at night. It is not a secret that these problems compromise the quality of the services and hinder the financial growth of a practice. Among various billing errors, duplicate claims are the most frequent problem. Insurance companies use the CO 18 denial code to

There is a time limit for everything, including filing a medical claim. Insurance providers offer varying time limits for submitting medical claims. While some payers have a 90-day limit, others give you a year to file for reimbursements.  However, one thing remains constant. Insurance companies set their deadlines based on the date the service was