ClaimDenials

Denial code 136, indicating “Failure to follow prior payer’s coverage rules,” is a frequent challenge in medical billing that can impact your practice’s revenue significantly. This denial code is commonly associated with Group Code OA, used when claims are submitted to a secondary payer. Avoiding these denials requires a clear understanding of the primary payer’s

​Denial code 272, which indicates that “coverage/program guidelines were not met,” is a frequent issue faced by healthcare providers. This type of denial often results in lost revenue and administrative headaches. However, understanding its common causes and implementing targeted strategies can help practice managers, healthcare providers, and practice owners reduce these denials and streamline their

N822 denial codes are a common setback in healthcare billing, typically due to missing or incorrect procedure modifiers. Procedure modifiers play a crucial role in clarifying specific services provided, ensuring that Current Procedural Terminology (CPT) and Healthcare Common Procedure Coding System (HCPCS) codes are billed accurately for reimbursement. In this article, we’ll explore the typical