July 2024

ICD-10 denials

Avoid ICD-10 Denials: Fix Deprecated Code Rejections

Leave a Comment / July 2024

For healthcare practices, claim denials due to *ICD-10 denials* from outdated codes create unnecessary revenue cycle disruptions. With CMS implementing approximately 500 code changes annually, maintaining current coding practices is essential for financial stability and operational efficiency. The Impact of Using Deprecated Codes Financial Consequences Operational Challenges 5 Key Strategies to Prevent Denials 1. Establish a Code […]

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bundled service denials

Fix Bundled Service Denials With Proper Modifiers

Leave a Comment / July 2024

Bundled service denials crush your revenue when insurers reject claims for procedures they consider “included” in another service. For practice managers and providers, these frustrating denials mean lost income, wasted staff time, and unnecessary appeals. Here’s the solution: Proper modifier use can prevent 80% of these denials. Why Bundled Service Denials Hurt Your Practice Every bundled service

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N34 denials

 Fix N34 Denial Code: Prevent Improper Form/Format Errors

Leave a Comment / July 2024

For practice managers, healthcare providers, and owners, a smooth revenue cycle is the foundation of a successful practice. However, the N34 denial code—a rejection for “improper form or format”—creates entirely preventable administrative headaches and payment delays. This denial signifies a fundamental breakdown in your claims submission process, often stemming from simple, correctable errors. A high volume

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B7 denials

Fix B7 Denials: Stop Provider Certification Claim Rejections

Leave a Comment / July 2024

For healthcare administrators and practice managers, consistent cash flow is essential for operational stability. Consequently, B7 denials—claim rejections stemming from provider certification issues—create frustrating payment delays and unnecessary administrative burdens. These denials, often related to credentialing problems, PTAN discrepancies, or provider mismatches, directly impact your bottom line. The good news, however, is that most B7 denials are entirely

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Denial Code CO-27

Fix Denial Code CO-27: Prevent Expired Coverage Denials

Leave a Comment / July 2024

For practice managers and healthcare providers, maintaining a healthy cash flow is a constant priority. Consequently, Denial Code CO-27—a claim rejection for services rendered after a patient’s coverage ended—poses a significant and frustrating threat to your revenue cycle. These denials directly translate into lost revenue, wasted administrative hours, and strained patient relationships. The good news, however,

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Denial Code CO-16

Fix Denial Code CO16: Stop Missing Info Claim Denials

Leave a Comment / July 2024

For practice managers and healthcare providers, a smooth revenue cycle is essential for financial stability. Consequently, Denial Code CO16—a rejection for missing or incomplete information—creates frustrating payment delays and unnecessary administrative work. The good news is that since these denials are purely administrative, you can prevent them entirely with the right systems and protocols. Mastering how

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ICD-10 Excludes

Master ICD-10 Excludes Notes: Prevent Costly Claim Denials

Leave a Comment / July 2024

For practice managers and healthcare providers, navigating the intricate world of ICD-10 coding is a fundamental part of ensuring a healthy revenue cycle. Among the most persistent challenges are the ICD-10 Excludes notes. Misinterpreting these critical guidelines is a direct path to claim denials, delayed reimbursements, and costly administrative rework. Mastering the distinction between Excludes1 and

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Denial Code 109

Prevent Denial Code 109 in Your Healthcare Practice

Leave a Comment / July 2024

Denial Code 109, the “non-covered service” rejection, creates a major headache for practice managers, healthcare providers, and practice owners. This denial happens when insurers reject a claim because the service falls outside a patient’s plan benefits. The good news? We can prevent most of these denials. By understanding their root causes and adopting proactive protocols,

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Prior Authorization Denials

Stop Prior Authorization Denials Permanently

Leave a Comment / July 2024

Prior authorization denials are one of the most frustrating and costly challenges facing practice managers, healthcare providers, and owners today. These preventable rejections create bottlenecks in your workflow, delay patient care, and directly impact your bottom line. But what if you could turn this administrative headache into a smooth, efficient process? The key is to

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