Proven Denial Management Strategies to Boost Your Revenue Cycle

Claim denials are one of the persistent challenges that healthcare providers face in the RCM process. Denial leads to delayed payments, which in turn result in increased administrative costs and decreased staff productivity. Efficient denial management demands both proactive prevention and reactive solutions. Here are the most effective denial management solutions that can help healthcare […]
Top Reasons for Denial Code 234 and How to Address Them

Top Reasons for Denial Code 234 and How to Address Them Navigating the intricacies of medical billing is no small feat, and claim denials often top the list of challenges faced by healthcare providers’ billing teams. Among the many reasons for denials, Denial Code 234 is a common one that often causes confusion. This code […]
Step-by-Step Guide to Appealing a CARC 213 Denial

Medical billing can be a headache, and the notorious CARC 213 code often adds to the frustration. This denial code appears when a provider bills for a service that the payer explicitly excludes in the contract. In simpler terms, the insurer decides the procedure doesn’t qualify for payment under the patient’s plan. If you encounter […]
How Accurate Medical Coding Can Reduce Claim Denials for Family Medicine Practices

Running a family medicine practice involves caring for patients across every stage of life, managing a wide range of conditions, and staying current with healthcare regulations. Amid these responsibilities, one issue continues to burden many practices: claim denials. Often underestimated, denials are more than just administrative setbacks—they’re a silent drain on time, resources, and revenue. […]