Tag: claims denial management

Medical Coding Denials

Top 10 Medical Coding Denials and How to Avoid Them

Medical coding denials are a significant challenge for healthcare providers, revenue cycle managers, and billing departments. Not only do they disrupt the cash flow of healthcare organizations, but they also result in increased administrative costs and delayed patient care reimbursements. According to industry data, nearly 9% of claims are initially denied, and a substantial portion […]
Medicare Advantage plans benefit

Medicare Advantage Plans Benefit from Expert Medical Billing

As the U.S. healthcare system continues to evolve, Medicare Advantage (MA) plans have seen rapid growth, offering seniors an alternative to traditional Medicare. With more than 30 million beneficiaries enrolled in Medicare Advantage as of 2025, the demand for administrative efficiency and accurate claims processing has never been greater. Medical billing companies play a pivotal […]
Key Survey Findings: Common Causes of Healthcare Claim Denials

Key Survey Findings: Common Causes of Healthcare Claim Denials

According to a recent survey, eligibility and prior authorization issues were among the most prevalent causes of claim denials. Hospitals and healthcare systems are experiencing an uptick in claim rejections due to errors in front-end revenue cycle processes. The Healthcare Financial Management Association’s Pulse Survey program, conducted for a healthcare technology company, gathered responses from […]