How to Read an Explanation of Benefits for Practices
Most practices read an Explanation of Benefits too casually. That’s a mistake, because an EOB is not just a payment notice. It’s […]
Expert Guide: How to Appeal a Denied Insurance Claim
To appeal a denied insurance claim, your practice needs a disciplined process: identify the exact denial reason from the ERA or EOB, […]
PR 119 Denial Code: What It Is and How to Fix It
A PR 119 denial code means the payer says the patient has reached a benefit maximum for that service, and the balance […]
Top 10 Revenue Cycle Management Best Practices for 2026
The most effective revenue cycle management best practices involve a multi-pronged strategy focused on front-end precision, coding accuracy, and relentless follow-up. This […]
Fixing the CO 119 Denial Code for Practice Growth
The CO 119 denial code means the patient’s benefits for the service are exhausted, forcing your practice to absorb the cost as […]
A Practice Owner’s Guide to Mental Health Revenue Cycle Management
Effective mental health revenue cycle management (RCM) is the specialized financial process that ensures your practice gets paid correctly and on time […]
Mastering CPT Modifier 25 for Maximum Reimbursement
CPT modifier 25 signals to a payer that a significant, separately identifiable Evaluation and Management (E/M) service was performed on the same […]
A Practice Manager’s Guide to the CO236 Denial Code
The CO236 denial code means the payer has determined one procedure or service is included—or "bundled"—into another, more comprehensive service billed on […]
What is the CO-253 Denial Code? A Guide for Practice Managers
The CO-253 denial code is not a denial but a mandatory 2% payment reduction on an approved Medicare Fee-for-Service claim, as required […]
Is Outsourced Revenue Cycle Management Worth It? A Guide for Physician Owners
Yes, outsourced revenue cycle management (RCM) is worth it for practices seeking to increase profitability and reduce administrative burdens. By delegating financial […]
8 Critical Medical Billing Company Red Flags for Your Practice
The most critical medical billing company red flags are persistently high claim denial rates, a lack of specialty-specific coding expertise (e.g., misusing […]