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Claim Denials Blog Posts

Decoding Common Denial Codes: Duplicate Claim or Service

Harold Gibson

Every medical practice deal with claims denials, which is a notice that the claim has not been paid for specific reason. While there are many different denial codes you may see from time to time, one of the most common denial codes is the denial for a duplicate claim or service. Unfortunately, duplicate claims are both counter-productive and costly for your practice, not to mention, they can end up getting you into trouble. Too many errors can result in the imposition of program integrity actions by the Medicare administrative contractor against your practice. This means it’s essential to learn more about this common denial code, how to avoid it, and what you can do when it does happen.  

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Topics: medical claim denials, claim denials, duplicate claim denial

Decoding Common Denials: Denial Code CO-97

Harold Gibson

Claim denials are one of the most significant barriers to efficient revenue cycle management. Denials not only require additional resources and time for reprocessing, but they also slow down your practice’s cash flow by delaying payment. Statistics show that around $262 billion in medical claims get denied initially, but even worse, more than 60% of those claims do not get reworked, which means that’s a lot of money down the drain.

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Topics: claim denials, Denial Code CO-97

Decoding Five Common Denial Codes in a Medical Practice

Harold Gibson

In these unprecedented times, we have been digging into some of the most common denial reason codes to shed some light on solutions that help your practice avoid costly denials. Unfortunately, claims denials are common, and they have a significant impact on your bottom line. We’ve rounded up five most common denial reason codes and offered helpful tips on how to solve them to reduce the number of denials you see coming back to your practice.

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Topics: medical claim denials, claim denials

5 Ways to Prevent Claims From Being Denied and Improve Collections

Patrick Dougherty

Getting claims paid in a timely manner and as efficiently as possible is vital to the strength and longevity of your medical practice. According to some estimates, it costs medical providers an average of $6.50 to file each claim with an average of 5 to 10 percent of these being denied. When claims are re-submitted, the cost to do so jumps as high as $118. Up to 65 percent of denied claims are never even re-submitted at all. 

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Topics: medical claim denials, claim denials

Resolve Claim Denials and Rejections to Increase Practice Revenue

Patrick Dougherty

Two of the biggest obstacles affecting your practice’s revenue cycle is insurance claim denials and rejections. And unfortunately, the terms “claim denials” and “claim rejections” are often confused and used interchangeably. It’s so important to understand the differences between these two terms, since misunderstandings can result in a negative impact on your practice’s revenue cycle. Here’s a closer look claim rejections, claim denials, reasons they occur, and some helpful tips for improving your practice’s claim rejection and denial rates. 

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Topics: claim denials, claim rejections

About this blog

A place for physicians and other healthcare stakeholders to share and discover information about everything related to running efficient medical practices.

Established in 2002 by a group of physicians, we are a national provider of medical billing services to group practices, clinics, and individual physicians. We also specialize in provider credentialing, payer contract reviews, and medical coding for a wide range of clients - from solo practitioners to multi-site, multi-specialty practices.

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