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Mastering N188 Denial Code: A Modern Guide for Healthcare Providers

Leave a Comment / Denial Management, June 2025

Understanding N188 Denial Code: A Modern Guide for Healthcare Providers In today’s healthcare billing environment, even one claim denial can interrupt your entire revenue stream. Among the many reasons payers reject claims, the N188 denial code stands out as both common and avoidable. However, with the right approach, you can avoid these denials, recover payments […]

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Mastering MA67 Claim Denials: Optimize Your Revenue Cycle

Leave a Comment / Denial Management, May 2025

When healthcare providers receive a denial with Remark Code MA67 Claim Denials – “Correction to a prior claim” – it often signals a breakdown in the revenue cycle. These denials not only delay payments but also strain internal resources. For practice managers and healthcare leaders, understanding the root causes and proactively addressing them is critical

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How to Prevent N28 Claim Denials with Smart Consent Form Practices

Leave a Comment / Denial Management, May 2025

Tackling N28 Claim Denials: Smart Strategies for Consent Form Compliance One of the most frustrating roadblocks in the healthcare revenue cycle is the N28 Claim Denials, which arises when “consent form requirements are not fulfilled.” While this might sound simple, it’s a critical area that often causes delays in reimbursements and revenue loss. Let’s break

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Preventing Denial Code 164: Tips to Prevent Timely Attachment Delays

Leave a Comment / Denial Management, May 2025

What Is Denial Code 164? Denial Code 164 indicates that the claim attachment was either not received or was submitted after the payer’s deadline. This seemingly minor issue can result in frustrating delays and lost revenue. Understanding the why behind this denial is key to stopping it from recurring. Why Timely Attachments Get Missed: The

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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

How to Fix N403 Denials: Avoid the “Missing Facility Certification”

Leave a Comment / April 2025, Denial Management

Receiving a denial with the remark code N403 Denials – Missing Facility Certification can seriously delay reimbursement and disrupt your revenue cycle. This code usually indicates that the claim did not include documentation verifying that the services were performed at a certified facility. But what does this mean for your practice? Essentially, your claim hit

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Prevent N329 Denials: Fix Birth Date Errors in Claims

Leave a Comment / April 2025, Denial Management

Claim denials are more than just a paperwork issue—they directly hit your bottom line. One of the most overlooked yet impactful denial codes is N329, which is triggered by missing, incomplete, or invalid patient birth date information. For healthcare providers and practice managers, this seemingly minor error can result in delayed reimbursements, lost revenue, and

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How to Prevent N117 Denials in Medical Billing

Leave a Comment / April 2025, Denial Management

If you’ve received a claim denial with Remark Code N117, it means the billed service is restricted to a one-time benefit in the patient’s lifetime. This restriction often applies to high-value medical services like initial therapy evaluations or specific surgeries. For practice managers, providers, and healthcare business owners, understanding and managing N117-related denials is essential

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