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Author name: Addison Barnes

CO 45 Denial Code

CO 45 Denial Code: Effective Management and Resolution

Don’t let the complexities of medical billing affect the quality of your services. Healthcare is a demanding industry. As a healthcare provider, you don’t want the additional stress of claim denials while dealing with long working hours and burnout.  However, getting the insurance companies to reimburse your medical claims on the first try is quite […]

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RCM Automation 

Healthcare Revenue Cycle Management (RCM) Automation 

Artificial intelligence (AI) and automation are revolutionizing almost every industry, and healthcare is no different. However, not everyone can gauge its full potential. It is impossible to cover all the facets of healthcare that could benefit from this technology in a single blog.  BUT! As a healthcare provider, you must be concerned with keeping your

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Healthcare Revenue Cycle Management (RCM)

Best Healthcare Revenue Cycle Management (RCM) Companies 

Revenue cycle management (RCM) is the key to a thriving healthcare practice because you cannot operate smoothly without a steady cash flow. Thus, many healthcare facilities turn to RCM companies to outsource their practice’s financial aspects for increased reimbursements.  While choosing from a large pool of revenue cycle management vendors, which one should you choose

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Denial Code 253

Denial Code 253: Sequestration Reduction in Medical Billing

Denial code 253, also referred to as CO 253, is a mandatory payment reduction enforced by the federal government on reimbursements for healthcare services or procedures.  If you are a Medicare-approved provider, then this sequestration will be applied to all your claims. Hence, it is important to understand the common reasons behind these sequestration-related denials,

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Downcoding in medical billing. Image of a girl working on medical coding.

Downcoding in Medical Billing and Its Impact on RCM

You may find it hilarious and ask why a healthcare practice would downcode their services. BUT! It is a significant medical billing error that can impact the healthcare facility’s financial health, hurt patient care, and lead to legal repercussions.  Thus, we have curated this comprehensive guide to help you understand downcoding in medical billing. We

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