Medicare claim denials can be frustrating, but one of the most common—and confusing—denials providers face is the N104 Denial Code. This code signals that the claim or service was submitted to the wrong Medicare Administrative Contractor (MAC). In simple terms: the claim landed in the wrong place. If you’re seeing more N104 denials lately, you’re […]
Navigating the N104 Denial Code: What Providers Need to Know? Read More »
How to Resolve Reason Code N47: Claim Overlap with Another Inpatient Stay If your healthcare practice is dealing with repeated claim denials under Reason Code N47, it’s time to address the root of the issue. This denial arises when your claim conflicts with another recorded inpatient stay, delaying reimbursements and disrupting your revenue flow. Let’s
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Denial Code 5 is a frequent challenge in healthcare claims processing, often caused by mismatches between procedure codes and the place of service (POS). For practice managers, healthcare providers, and owners, this issue can lead to significant revenue loss and increased administrative burdens. Understanding the root causes and implementing effective strategies is crucial to minimizing
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Navigating medical billing and claim denials is a common challenge for healthcare providers, practice managers, and owners. One of the most vital aspects of successful revenue cycle management is understanding denial codes. These codes, found in electronic remittance advice (ERA), explain why claims were denied or adjusted. By understanding and analyzing these codes, healthcare providers
Mastering Denial Codes for Effective Revenue Cycle Management in Healthcare Read More »
As a healthcare provider, getting a denial code 171 can be frustrating. It delays payment and puts stress on your revenue cycle. Denial code 171 typically indicates a mismatch between the provider type and the facility where the service was rendered. It’s important to know why this denial happens. You should also take steps to
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