RCMOptimization

M53 Denials: Strategies for Reducing M53 Claim Denials

Leave a Comment / March 2025

For healthcare providers, owners, and practice managers, nothing is more frustrating than a preventable claim denial. M53 claim denials—signaling missing, incomplete, or invalid days or units of service—are a major revenue killer. These rejections stop cash flow, force time-consuming administrative rework, and ultimately reduce practice profitability. The good news? These unit and day-of-service errors are […]

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Denial Code N418

Fix Misrouted Claim Denial N418 for Better RCM

Leave a Comment / March 2025

For practice managers, healthcare providers, and practice owners, the Misrouted Claim Denial N418 poses a significant administrative and financial risk. This denial code, often paired with CARC 109, clearly states that your claim was sent to the incorrect payer or department. Misrouting causes immediate delays in processing. Consequently, this leads to denials and a significant

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Remark Code M67

Resolve Remark Code M67 Missing Procedure Code Denials

Leave a Comment / January 2025

As a practice manager, healthcare provider, or practice owner, you are undoubtedly familiar with the frustration and financial drain of claim denials. Remark Code M67 Missing Procedure Code is a persistent source of this headache. This code signals a fundamental issue: missing, incomplete, or invalid procedure code information on the claim. Consequently, this failure leads

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