HealthcareProviders

How to Overcome M86 Denials in Medical Billing: Smart Tactics for Revenue Recovery

Leave a Comment / Denial Management, May 2025

One of the most common and frustrating obstacles in healthcare billing is dealing with denied claims—especially those tagged with Reason Code M86 denials. This denial states: “Service denied because payment already made for same/similar procedure within set time frame.” For healthcare providers, understanding why this happens and how to prevent it is crucial to maintaining […]

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N381 Denial Code: How to Prevent Revenue Leaks

Leave a Comment / April 2025, Denial Management

Understanding the N381 Denial Code Are you a healthcare provider, practice manager, or medical business owner constantly battling the N381 denial code? You’re not alone. This common denial indicates that the claim doesn’t meet the terms of your payer contract—leading to frustrating delays and lost revenue. Let’s break it down and help you turn this

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Understanding and Overcoming Denial Code N657

Leave a Comment / April 2025

Denial Code N657 — “This should be billed with the appropriate code for these services” — is a common obstacle in healthcare billing that can severely impact reimbursement and cash flow. This denial signals coding mismatches, missing information, or outdated practices that healthcare providers must swiftly address to maintain a healthy revenue cycle. Common Reasons

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Prevent N40 Denials

Stop N40 Denials: Fix Missing Radiology Images Fast

Leave a Comment / April 2025, Denial Management

The N40 remark code, indicating missing radiology films or images, is a common but costly denial that disrupts cash flow and creates unnecessary administrative work. For practice managers and healthcare providers, understanding and preventing these denials is key to maintaining a healthy revenue cycle. In this guide, we’ll break down why N40 denials happen and provide actionable

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Prevent N31 Denials

Prevent N31 Denials: Fix Prescriber ID Errors for Faster Payments

Leave a Comment / March 2025

N31 denials, triggered by missing, incomplete, or invalid prescribing provider identifiers, are among the most frustrating claim rejections healthcare providers face. These denials delay reimbursements and create unnecessary administrative burdens. In this guide, we’ll break down why N31 denials happen and provide actionable strategies to prevent them, helping you streamline your revenue cycle and maximize

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Prevent Denial Code 115

Stop Denial Code 115: Boost Revenue with Proven Strategies

Leave a Comment / March 2025

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

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MA36 DENIALS

Stop MA36 Denials: Boost Revenue with Accurate Patient Data

Leave a Comment / Denial Management, March 2025

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

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Denial code M53

Stop M53 Denials: Boost Revenue with Smarter Claim Management

Leave a Comment / March 2025

One big challenge for healthcare providers is claim denials. This is especially true for code M53. This code means missing, incomplete, or invalid days or units of service. These denials can disrupt your revenue cycle and strain your practice’s financial health. This blog will explore the root causes of M53 denials and share actionable prevention

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Denial code N289

Avoid N289 Denials: Boost Claim Reimbursement for Providers

Leave a Comment / March 2025

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

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Georgia 2025 Provider Protocols

Georgia 2025 Provider Protocols: Key Updates for Practices

Leave a Comment / March 2025

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

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