Tag: Patient eligibility

CO 22 denial code

CO 22 Denial Code: Expert Guide to Prevention & Resolution in Medical Billing

In essence, the insurance company you billed believes another insurer is primarily responsible for the payment. Understanding and effectively managing CO 22 denial code is critical for maintaining a healthy revenue cycle and ensuring timely reimbursements. This comprehensive guide will break down the CO 22 denial code, explore its common causes, and provide actionable strategies […]
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Medicare Advantage

Medicare Advantage Dual Eligible’s Have Fewer ER Visits Than Those Under FFS

Dual eligible Medicare Advantage beneficiaries had 42.1% less emergency room visits than their fee-for-service counterparts. The cost of care and rate of hospitalizations for dual eligible Medicare Advantage (MA) beneficiaries was considerably lower than dual eligibles under fee-for-service (FFS), according to an Avalere Health study released Tuesday evening. Dual eligible Medicare Advantage (MA) populations averaged healthcare […]
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Top 13 Reasons For Claim Denials

Top 13 Reasons For Claim Denials

Denied claims are one of physicians’ chief complaints when it comes to dealing with payers. To a certain extent, every practice deals with claim denials. It’s those practices that eliminate the most common reasons that experience a smoother revenue cycle and find greater financial success. Here are the 13 most common reasons for why claims […]
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