Here are the top 21 claim adjustment codes, followed by reason codes, reflecting why a claim wasn’t paid or was paid differently than billed. These codes pertain to claims for all specialties across ...
When ASCs proactively monitor and analyze key performance indicators (KPIs), they can effectively influence their facility’s revenue cycle performance by catching problems that decrease revenue, ...
MARIETTA, GA – A medical banking organization is leading efforts to standardize the use of denial codes by health plans. Agreement on a taxonomy of denial codes will provide benefits to both providers ...
For years, many healthcare executives treated claim denials as a back-office irritation—a revenue problem to be delegated, not a strategic one to be solved. That era is over. Denials have quietly ...