Denial Codes

A high denial rate can bring down your healthcare practice’s revenue cycle within months, making it a headache to keep your facility’s doors open for services. Because without a steady cash flow, the overhead costs will pile up!  Thus, our medical billing experts started a library of denial guides explaining each denial, its resolution strategy, […]

Every healthcare facility, regardless of its orientation (hospital, individual, or group practice), can agree on one thing – the denial rate is the most prominent antagonist impacting its financial health. But, like every good story, there is also a HERO! ‘Billing best practices’ – as 86% of claim denials are preventable.  Thus, as a leading

Are medical claim denials keeping you on your toes? We understand the struggle you must be going through while trying to juggle your clinical tasks with billing activities. Thus, we decided to help you understand each denial code in detail through our comprehensive guides.  This blog is one from this series that will cover everything

Surprises come in all shapes and sizes. Sometimes, they arrive as denial codes. Have you ever received a claim denial with a code you don’t fully understand? The B9 denial code is one such example. It has a simple description, yet it can be quite confusing for many. Insurance companies often use this code when

Denials are the speedbreakers in your revenue cycle. They disrupt the pace of cash inflow and can cause revenue leaks if you do not manage or resolve them. PR 204 denial code is no different. It has the same impact on the financial health of your practice as other CARC denial codes. If you want

Still thinking about your denied claim? Look at the denial code to discover the reason. Each code highlights different issues in your claims, from coverage limitations to incorrect or missing payer information. By understanding the most recurring reasons, you can avoid the patterns or mistakes in your billing process that result in claim rejections. So,

According to the U.S. Centers for Medicare & Medicaid Services, private and government health insurance payers process over 5 billion medical claims annually. A complaint submitted to the U.S. Department of Justice stated that nearly 95% of these medical claims are transferred electronically via EDI clearinghouses.  Since the rise of electronic medical claim filing, clearinghouses

Getting your claim denied due to billing errors like incorrect coding and missing or inaccurate information is one thing. But have you ever submitted a claim to the wrong payer? If you have, then you might already be familiar with the CO 109 denial code. Claim denials are a common problem for many healthcare providers,

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