Category
Category: Denials & AR
How to read claim denial codes, reduce denials, and manage AR aging and insurance follow-up in a medical practice.
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CO-50 Denial Code: Medical Necessity Denials and Appeals
CO-50 means the payer decided the service was not medically necessary. Learn how to find the policy behind it, fix coding gaps, use ABNs correctly and build a strong appeal.
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CO-197 Denial Code: Missing Authorization and How to Recover
CO-197 means the payer has no authorization on file for the service. Learn how to find the cause, match or request an authorization, and decide between correction and appeal.
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CO-16 Denial Code: Missing Information and How to Fix It
CO-16 means the claim lacks information or has a billing error. Learn how to read the remark code, fix the field and resubmit without losing the filing window.
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How to Reduce Claim Denials: A Practical Playbook
Most denials start long before a claim is sent. This playbook shows how to reduce denials in medical billing by fixing each stage, then working the ones that still get through.
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Medical Billing Denial Codes: CARC and RARC Codes Explained
Group codes, CARCs and RARCs with verified X12 descriptors, a one-line fix for 21 common denials, and how to correct, appeal or bill each one.
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AR Aging in Medical Billing: 30, 60, 90 and 120-Day Buckets
What the 30, 60, 90 and 120-day buckets tell you, how to calculate days in AR, and a follow-up plan for each bucket before old claims lose their value.
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