BillingErrors

How to Overcome M86 Denials in Medical Billing: Smart Tactics for Revenue Recovery

Leave a Comment / Denial Management, May 2025

One of the most common and frustrating obstacles in healthcare billing is dealing with denied claims—especially those tagged with Reason Code M86 denials. This denial states: “Service denied because payment already made for same/similar procedure within set time frame.” For healthcare providers, understanding why this happens and how to prevent it is crucial to maintaining […]

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N381 Denial Code: How to Prevent Revenue Leaks

Leave a Comment / April 2025, Denial Management

Understanding the N381 Denial Code Are you a healthcare provider, practice manager, or medical business owner constantly battling the N381 denial code? You’re not alone. This common denial indicates that the claim doesn’t meet the terms of your payer contract—leading to frustrating delays and lost revenue. Let’s break it down and help you turn this

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Understanding and Overcoming Denial Code N657

Leave a Comment / April 2025

Denial Code N657 — “This should be billed with the appropriate code for these services” — is a common obstacle in healthcare billing that can severely impact reimbursement and cash flow. This denial signals coding mismatches, missing information, or outdated practices that healthcare providers must swiftly address to maintain a healthy revenue cycle. Common Reasons

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How to Fix N403 Denials: Avoid the “Missing Facility Certification”

Leave a Comment / April 2025, Denial Management

Receiving a denial with the remark code N403 Denials – Missing Facility Certification can seriously delay reimbursement and disrupt your revenue cycle. This code usually indicates that the claim did not include documentation verifying that the services were performed at a certified facility. But what does this mean for your practice? Essentially, your claim hit

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Digital graphic with the bold text "PREVENT N433 DENIALS" centered on a light blue medical-themed background featuring blurred images of a stethoscope and syringe.

How to Fix Remark Code N433 Denials – NPI Billing Tips

Leave a Comment / April 2025, Denial Management

As a healthcare provider or practice manager, receiving claim denials can be a frustrating experience, especially when they come with Remark Code N433. This code signals that the payer requires you to resubmit your claim using only your National Provider Identifier (NPI). Let’s break down why this happens and how you can avoid it in

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clearinghouse rejections

Clearinghouse Rejections: How to Avoid Them and Maximize Revenue

Leave a Comment / Healthcare

Healthcare providers and practice managers often face the frustrating challenge of clearinghouse rejections. These aren’t denials; they’re opportunities to rectify errors and ensure timely claim payments. By understanding the common causes of these rejections and implementing effective solutions, you can streamline your revenue cycle and improve your bottom line. Why Are My Claims Getting Rejected?

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Denial Code 158

Denial Code 158: How to Prevent Revenue Loss in Healthcare

Leave a Comment / December 2024, Denial Management

Denial code 158, which indicates that services were provided outside the United States, can create significant financial challenges for healthcare providers. To maintain a healthy revenue cycle, it’s essential to understand the root causes of these denials and implement effective strategies to prevent them. Common Causes of Denial Code 158 Strategies to Prevent Denials Conclusion

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Denial Code 151

Denial Code 151: Avoid Claim Rejections with Accurate Frequency Justification

Leave a Comment / Denial Management

Denial code 151 is a common reason for claim rejections, indicating that the payer believes the submitted information doesn’t justify the frequency or quantity of services billed. This can significantly impact your practice’s revenue. Understanding the causes and implementing effective strategies to address these denials is crucial. Common Causes of Denial Code 151 Several factors

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Reason Code N525

Reason Code N525: Prevent Denials by Understanding Global Period

Leave a Comment / Denial Management

Receiving denials due to Reason Code N525, “These services are not covered when performed within the global period of another service,” can be frustrating. This often indicates a billing error related to the timing of procedures and services. To avoid these denials and ensure accurate reimbursement, it’s crucial to understand the concept of global periods

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Reason Code N22

Reason Code N22: Avoid Denials with Accurate Procedure Coding

Leave a Comment / Denial Management

Reason code N22, This procedure code was added/changed because it more accurately describes the services rendered, is a common denial encountered in healthcare billing. It indicates that the billed procedure code doesn’t accurately reflect the services provided. Understanding the reasons behind N22 denials and implementing effective solutions is essential for improving your practice’s revenue cycle.

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