For healthcare practice managers and owners, Dual-Eligible Billing has become a critical financial priority. With more than 12 million Americans qualifying for both Medicare and Medicaid, this population represents both opportunity and risk. In 2026, mastering Dual-Eligible Billing is not only about coordinating care — it is about preventing claims from falling into costly A/R […]
Dual-Eligible Billing in 2026: Prevent Revenue Loss Read More »
Healthcare providers and practice managers often face a surge in claims denials due to the mysterious Denial Code 192 Adjustment Code. This confusing code typically appears in paper remittance advice, leaving revenue cycle teams scratching their heads. Essentially, this code is used when a payer needs to communicate Coordination of Benefits (COB) information to another
Denial Code 192: Adjustment Code Fix Guide Read More »
Practice managers, healthcare providers, and clinic owners often tire of dealing with Denial Code B11 Claim Not Covered by Payer. This pesky code indicates that your claim went to the appropriate payer or processor, but that payer does not cover the specific claim or service. Consequently, this can be a frustrating issue, but implementing effective,
B11 Denial: Claim Not Covered Fix Guide Read More »
Denial Code N598, “Health care policy coverage is primary,” is a common and frustrating issue for healthcare providers and practice managers. It indicates that the payer you billed believes another insurer should be billed first. As a result, claims are delayed, staff productivity drops, and revenue cycles slow down. In most cases, this issue stems
Denial Code N598: Fix & Prevention Steps Read More »
