December 2024

Denial Code 55

Conquer Denial Code 55 Experimental/Investigational Denials

Leave a Comment / December 2024

Practice managers, healthcare providers, and practice owners face a significant revenue challenge with Denial Code 55 Experimental/Investigational. This denial signals the payer does not recognize a procedure, treatment, or drug as established or safe. Consequently, the claim is rejected immediately. This classification means lost revenue and wasted time for your practice. Therefore, understanding the causes […]

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Remark Code M42

Stop Remark Code M42 Missing/Invalid Signature Denials

Leave a Comment / December 2024

Practice managers, healthcare providers, and practice owners must address Remark Code M42 Missing/Invalid Signature. This common denial stems from a missing or invalid signature on the medical necessity form. Consequently, these rejections directly impact your revenue cycle and overall financial health. Therefore, implementing a strong proactive approach is essential to stop this administrative breakdown. Why

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clearinghouse rejections

Conquer Clearinghouse Claim Rejections for Faster Pay

Leave a Comment / December 2024

Healthcare providers and practice managers often face the frustrating challenge of Clearinghouse Claim Rejections. These are not payer denials. Instead, they are crucial alerts. They signal opportunities to rectify technical errors and ensure timely claim payments. By understanding the common causes of these rejections and implementing effective solutions, you can streamline your revenue cycle. Ultimately,

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Remark Code MA37

Fix Remark Code MA37 Missing/Invalid Patient Address Denials

Leave a Comment / December 2024

Healthcare providers and practice managers often face claim denials due to Remark Code MA37 Missing/Invalid Patient Address. This common denial stems from incorrect, incomplete, or invalid patient address information. Consequently, these administrative errors lead to significant revenue losses for practices. Therefore, understanding the root causes of Remark Code MA37 Missing/Invalid Patient Address and implementing actionable

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Denial Code 158

Fix Denial Code 158 Services Outside the US Claims Denials

Leave a Comment / December 2024

Healthcare providers, practice managers, and practice owners who bill for services rendered internationally face a complex revenue challenge: Denial Code 158 Services Outside the US. This denial signifies that the services were provided outside the United States. Consequently, the claim is rejected immediately. This issue arises from a complex interplay of inaccurate billing, insufficient coverage,

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Denial Code 151

Conquer Denial Code 151 Frequency/Quantity Not Justified Denials

Leave a Comment / December 2024

Practice managers, healthcare providers, and practice owners must actively combat Denial Code 151 Frequency/Quantity Not Justified. This common rejection indicates the payer believes the submitted information does not justify the frequency or quantity of services billed. Consequently, this denial directly impacts your revenue. Therefore, understanding the root causes of Denial Code 151 Frequency/Quantity Not Justified

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Reason Code N370

Fix Reason Code N370 Exceeded Rental Months DME Denials

Leave a Comment / December 2024

Healthcare providers, practice managers, and practice owners face a significant, recurring challenge with Reason Code N370 Exceeded Rental Months. This denial signals the billing exceeds the rental months covered or approved by the payer. Consequently, this often occurs when billing medical equipment rentals, such as oxygen or wheelchairs, surpasses the authorized rental period. Therefore, understanding

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Reason Code N525

Fix Reason Code N525 Global Period Exclusion Denials

Leave a Comment / December 2024

Healthcare providers, practice managers, and practice owners often find Reason Code N525 Global Period Exclusion frustrating. This denial states that services are not covered when performed within the global period of another service. Consequently, this often indicates a billing error related to the timing of procedures. Therefore, understanding the global period concept and its direct

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Reason Code N22

Fix Reason Code N22 Procedure Code Change Coding Denials

Leave a Comment / December 2024

Healthcare providers, practice managers, and practice owners must effectively manage Reason Code N22 Procedure Code Change. This common denial indicates that the billed procedure code doesn’t accurately reflect the services rendered. Consequently, the payer changes the code to one they believe is more accurate. This downward adjustment often reduces payment. Therefore, ensuring accurate coding and

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Reason Code N20

Fix Reason Code N20 Service Not Payable with Other Service

Leave a Comment / December 2024

Healthcare providers, practice managers, and practice owners frequently encounter Reason Code N20 Service Not Payable with Other Service. This denial signals a common stumbling block: multiple services billed on a single day are not considered separate by the payer. Consequently, the claim is denied or adjusted. Therefore, understanding the underlying reasons and implementing effective solutions

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