As ICD-10 denial trends continue to reveal insights into documentation trends, payer expectations, and compliance challenges as the healthcare industry moves deeper into 2025. The first quarter of the year (Q1 2025) brought a mix of the expected and the surprising in terms of ICD-10-CM diagnosis code denials. This newsletter provides an in-depth analysis of […]
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 […]
As a former emergency department physician from the U.K., this individual was well aware of claim denials and rejections, with payers frequently withholding or reducing payments. However, it was only when his personal insurance company, denied his medical claim for a vitamin D test that he decided to delve deeper into the issue. He found […]