MedicalNecessity

Denial code 55 is a significant revenue challenge for healthcare providers, indicating that a procedure, treatment, or drug is deemed experimental or investigational. This article will explore the causes of these denials, strategies to prevent them, and steps to take if your practice encounters this issue. Understanding Denial Code 55 When a claim is denied […]

Are you experiencing a surge in claim denials due to Reason Code M42? This common denial stems from a missing or invalid signature on the medical necessity form. Such denials can significantly impact your revenue cycle and overall financial health. Understanding the causes of M42 denials and implementing actionable solutions is essential for practice managers