Tag: denial prevention strategies

CO-97 Denial Code

Understanding CO-97 Denial Code: Common Causes, Impact, and Best Practices

In the complex world of medical billing, claim denials are one of the biggest challenges healthcare providers face. Among them, CO-97 denial code is one of the most frequent and confusing denials providers encounter. A denied claim not only disrupts cash flow but also leads to additional administrative costs and potential compliance risks. To minimize […]
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Charge Capture & Entry

How to Integrate Charge Capture & Entry Without Errors

In the ever-evolving healthcare industry, accurate charge capture and entry play a pivotal role in securing revenue and maintaining compliance. Even minor errors in these processes can lead to claim denials, revenue leakage, and compliance risks. For providers, the challenge is not just about capturing charges but integrating the process seamlessly into clinical workflows to […]
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Denial management in 2025

Denial Management in 2025: Proactive Strategies to Reduce Claim Denials

Denials have always been a challenge for healthcare providers, but in 2025 they’ve reached unprecedented levels of financial and operational impact. Studies show that denial rates now average 11.8% of all claims, with some providers reporting initial denial rates as high as 20%. For revenue cycle management (RCM) leaders, this isn’t just a numbers problem—it’s […]
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denial avoidance

Denials Management vs. Denials Avoidance: Key Differences & Best Practices

In today’s healthcare landscape, denied insurance claims can seriously impact a provider’s financial health and operational efficiency. To address this, denial management services and denial avoidance programs have emerged as industry essentials. This post explores the differences between these two strategies, compares their respective best practices, and highlights why working with a leading denial management […]
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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 […]
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Denial Management Process

3 Proactive Strategies for Improving Denial Management

In the ever-evolving field of medical billing, denied claims remain a significant obstacle for healthcare providers. Studies reveal that over 10% of claims face initial rejection by insurers, leading to revenue losses, administrative strain, and frustration for all stakeholders. To mitigate these challenges and ensure financial stability, an effective denial management process is essential. However, […]
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Top Strategies to Prevent Medical Coding Denials

Top Strategies to Prevent Medical Coding Denials

Medical coding denials are a common challenge for healthcare providers and revenue cycle management (RCM) teams. They can disrupt cash flow, delay reimbursements, and increase administrative workloads. Avoiding these denials requires a proactive approach that addresses their root causes, ensures compliance with regulations, and fosters a culture of continuous improvement. In this blog, we’ll explore […]
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