No matter how much of a medical billing expert you might be, you will have claims denied. Denied claims are a hassle, causing delays, an extra dent in resources, and unnecessary financial setbacks. Every year, $262 billion are denied in medical claims, and sadly, 90% of these denials are preventable. The key is to understand […]
CO 97 Denial Code Description, Causes & Resolution Guide Read More »
Seeing hundreds of patients, managing documentation, processing claims, and following up on payments is not easy when you try to juggle everything in-house, especially if you are a solo practitioner. In such a hectic routine, making mistakes becomes normal. However, getting denials or every claim can exhaust you financially and make it challenging to keep
Ultimate Guide to Denial Code CO 27 Read More »
Denials and payment delays can negatively impact your healthcare organization’s revenue cycle. Therefore, avoiding denials should be a priority and you must strive to improve your first-pass claim rate because appealing and reworking denied claims require both – time and money. This guide will help you understand denial code CO 11, issues that trigger it,
CO 11 Denial Code Description, Reasons & Resolution Guide Read More »
Did you just get hit with another denial? If it is the denial code CO 4, then breathe a sigh of relief because your revenue is not lost, just a little delayed. The CO 4 denial is triggered when the procedural code is inconsistent with the modifier used. Although the CO 4 denial code can
Denial Code CO 4 – All You Need to Know Read More »
Are you an orthopedic physician struggling with the intricate coding and billing process for your rendered care services? If yes, you have landed at the right guide! This guide is dedicated to answering your billing and coding challenges and helping you rise above the competition. We will discuss the orthopedic billing guidelines to help you
Orthopedic Billing & Coding Guidelines 2024 Read More »
How can we address the most common denials in medical billing without understanding them? The ideal scenario for any healthcare provider is to receive payments on time. But it has become increasingly impossible with the rise of claim denials. According to an analytical report, the claim denial rate on inpatient treatments and procedures increased by
Most Common Denials in Medical Billing in 2025 Read More »
Are you having trouble while billing code 99214? If yes, your struggles have come to an end. How? Because this guide is dedicated to decoding the code 99214. We will discuss what it is, why it is important, and what challenges healthcare providers typically face while reporting it. That’s not all! We will also share
CPT Code 99214 – All You Need to Know! Read More »
Working in a hospice is rather rewarding. However, healthcare practitioners need a little more than gratitude. They seek rightful payment for their services! Physicians and nurses employed at a hospice usually receive compensation from the government for providing services to terminally ill patients under their Medicare plans. Usually, these professionals use GV and GW modifiers
Hospice Modifiers for Medicare: GV vs. GW Modifier Read More »
Contractual obligations, service coverage, and coding! Medical billing is a complicated process for an average healthcare professional. Insurance policies vary from provider to provider, covering different services at varying contractual rates. A single mistake can lead to your insurance company denying or rejecting your medical claim. But how can you identify the reason for your
Denial Code 197: Description, Reasons & Solution Read More »
Healthcare providers provide quality care to patients, but who is responsible for their well-being? Our health heavily depends on the mental and physical well-being of healthcare providers. Unfortunately, stressful work environments often drive many healthcare workers, including physicians, into early retirement. The common reason quoted is BURNOUT. According to Medscape’s latest report on physicians’ burnout
Physician Burnout: Symptoms, Causes & Solutions Read More »
