ClaimsDenials

Medicaid Managed Care Billing

Master Medicaid Managed Care Billing & Stop Claim Denials

Ever feel like you’re wrestling with a hydra of paperwork just to get paid for treating Medicaid patients? You’re not alone. The shift to Medicaid Managed Care (MMC) has fundamentally changed how healthcare providers, practice managers, and clinic owners interact with the system. Consequently, the administrative burden has surged. This guide will untangle MMC, explain […]

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Remark Code MA27

Fix Remark Code MA27 Invalid MBI for Medicare Payments

For practice managers, healthcare providers, and practice owners, few technical rejections are as financially crippling as Remark Code MA27 Invalid MBI. This code stops Medicare claims dead in their tracks. It signals a critical failure: the beneficiary information submitted does not match the Centers for Medicare & Medicaid Services (CMS) records. Consequently, these preventable denials

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Denial Code N450

Fix Denial Code N450 Non-Primary Provider Denials Now

Healthcare providers, practice managers, and healthcare executives frequently encounter Denial Code N450 Non-Primary Provider. This specific denial occurs when payers reject claims for services performed by a provider not designated as the primary or authorized one. Consequently, these preventable denials create unnecessary, immediate revenue cycle challenges. Therefore, understanding the root causes and implementing robust credentialing

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Denial Code 198

Stop Denial Code 198 Missing Precertification Denials

For healthcare providers, practice managers, and practice owners, few claim rejections are as common or as costly as those flagged with Denial Code 198 Missing Precertification. This denial is frustratingly simple: your claim was rejected because it lacked the required precertification, authorization, or notification for a specific service. Precertification, or prior authorization, is a mandatory

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Denial Code 08

Conquer Denial Code 08 Procedure-Specialty Mismatch Denials

For healthcare providers, practice managers, and practice owners, Denial Code 08 Procedure-Specialty Mismatch is a costly and preventable administrative error. This denial creates frustrating payment delays. Specifically, claims are rejected due to mismatches between the procedure billed and the provider’s recorded specialty or taxonomy. Consequently, these preventable rejections disrupt cash flow and increase administrative burdens.

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Denial Code CO6

Fix Denial Code CO6 Patient Age/Procedure Mismatch Denials

Healthcare providers, practice managers, and clinic owners must actively prevent Denial Code CO6 Patient Age/Procedure Mismatch. This denial signals a critical error: a discrepancy exists between a patient’s age and the procedure or revenue code billed. Consequently, this misalignment leads to immediate claim rejection and significant revenue loss. Therefore, ensuring that all billing and coding

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