Denial Code 115 is a common challenge for healthcare providers, indicating that a procedure was postponed, canceled, or delayed. These denials can lead to revenue loss and administrative headaches. In this blog, we’ll explore the causes of Denial Code 115 and share actionable strategies to prevent it, helping you streamline your revenue cycle. Why Does […]
Stop Denial Code 115: Boost Revenue with Proven Strategies Read More »
Claim denials are a major headache for healthcare providers, and the MA36 error—indicating a missing, incomplete, or invalid patient name—is one of the most common culprits. These denials can lead to significant revenue loss and administrative hassles. In this blog, we’ll explore the root causes of MA36 denials and share actionable strategies to prevent them. Why
Stop MA36 Denials: Boost Revenue with Accurate Patient Data Read More »
For healthcare providers, medical billing can be very complicated. The N289 denial code is a common problem. This code means “Missing/incomplete/invalid rendering provider name.” This shows that the claim does not have correct information about the provider who gave the service. Let’s explore why N289 denials happen and how you can prevent them to boost
Avoid N289 Denials: Boost Claim Reimbursement for Providers Read More »
The healthcare system in Georgia is changing in 2025. Important updates to out-of-network referrals and prior authorizations are needed. These changes impact healthcare providers, practice managers, and billing specialists, making it essential to stay informed and compliant. Out-of-Network Referrals: What’s Changing? Georgia’s 2025 protocols introduce stricter guidelines for out-of-network referrals. In-network providers must now refer
Georgia 2025 Provider Protocols: Key Updates for Practices Read More »
For practice managers, healthcare providers, and owners, efficient provider credentialing is the backbone of a healthy revenue cycle. Credentialing with payers—whether commercial giants like UnitedHealthcare, BlueCross BlueShield, Humana, and Aetna or government programs like Medicare and Medicaid—is essential for timely reimbursements. However, the process is often complex, time-consuming, and fraught with challenges. Understanding the Credentialing
Provider Credentialing Process: A Guide for Practices Read More »
MA39 denials are a headache for healthcare providers, often causing delays in reimbursements and disrupting cash flow. This denial code indicates missing, incorrect, or invalid gender information on claims. While it might seem like a small detail, it can greatly impact your revenue cycle. Let’s dive into why gender matters in healthcare claims, common causes
Prevent MA39 Denials & Optimize Your Healthcare Revenue Cycle Read More »
IntroductionHealthcare practice managers, providers, and owners know how frustrating claim denials can be—especially when they impact revenue. One of the most common denials is code B13, which indicates that payment for a claim or service has already been made. This blog explores the reasons behind B13 denials, offers actionable strategies to prevent them, and provides steps
Stop B13 Claim Denials: Proven Strategies for Practice Managers Read More »
Denial code 203 states, “Service provided was either discontinued or reduced,” which is a frequent challenge for healthcare providers. This denial occurs when insurers determine that billed services were not fully rendered or were provided at a lower level than claimed. Addressing this issue is critical for practice managers and healthcare owners to maintain a
Denial Code 203: To Reduce Claim Denials for Discontinued Read More »
Denial Code 54, which states, “Multiple physicians/assistants are not covered in this case,” is a frequent hurdle for healthcare providers. This denial occurs when Medicare or other payers deem the involvement of multiple physicians or assistants unnecessary for a specific procedure. For practice managers and healthcare owners, understanding and addressing this issue is critical to
Preventing Denial Code 54: Strategies for Practice Managers Read More »
Are rising denial rates due to Denial Code 40 impacting your revenue cycle? This denial code, which indicates that charges don’t meet qualifications for emergent or urgent care, can lead to significant financial losses. For practice managers, healthcare providers, and owners, understanding the root causes and implementing effective strategies is key to minimizing denials and optimizing revenue. Let’s
Denial Code 40: Strategies to Minimize Urgent Care Claim Denials Read More »
