Complete the Epic Ambulatory Billing Certification and get hired instantly.
Epic Ambulatory Billing Certification prepares healthcare professionals to manage billing workflows in doctor’s offices …
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Cerner Charge Capture & Billing Specialist: Complete Guide
A Cerner Charge Capture & Billing Specialist is a healthcare professional who manages how …
Denial Code CO 94 – Processed in Excess of Charges Explained and How to Resolve It
Denial code 94 means your claim was processed for more than the allowed charge. …
Denial Code CO 85 – Patient Interest Adjustment Use Only Group Code PR for Accurate Billing Compliance
Denial code 85 means there was a Patient Interest Adjustment, and you should only …
Denial Code CO 89 – Professional Fees Removed from Charges Explained and Resolved
Denial code 89 means professional fees have been removed from the charges you submitted. …
Denial Code 91 – Dispensing Fee Adjustment Explained and How to Resolve It
Denial code 91 means there is a problem with the dispensing fee adjustment on …
Denial Code CO 90 – Ingredient Cost Adjustment Explained for Pharmaceutical Billing Compliance
If you work with pharmaceutical billing, you might come across denial code 90. This …
Denial Code CO 76 – Disproportionate Share Adjustment Explained and Impact on Healthcare Billing
Denial code 76 – Disproportionate Share Adjustment means your claim was denied because the …
Denial Code CO 75 – Direct Medical Education Adjustment Explained and Resolved
Denial code 75, labeled as Direct Medical Education Adjustment, occurs when claims are adjusted …
Denial Code CO 56 – Procedure/Treatment Not Proven Effective by Payer Explored and Explained
If you’ve received a denial code 56 from an insurance payer, it means your …
Denial Code 55 – Procedure, Treatment, or Drug Classified as Experimental by Payer: Understanding Coverage Implications
If you see denial code 55 on your medical claim, it means your insurance …
Denial Code 54 – Multiple Physicians/Assistants Not Covered Explained and Solutions
Denial code 54 means that insurance rejected a claim because more than one physician …
Denial Code CO 53 – Services by an Immediate Relative or Household Member Are Not Covered: Understanding Coverage Restrictions
Denial code 53 means your insurance will not pay for services done by an …
Denial Code CO 51 – These Are Non-Covered Services Due to Pre-Existing Condition Explained
Denial code 51 means your insurance company will not pay for certain services because …
Denial Code 50 – Understanding Non-Covered Services Due to Lack of Medical Necessity by Payer
If you see denial code 50 on a medical claim, it means the service …
Denial Code CO 7 – The Procedure/Revenue Code Is Inconsistent With the Patient’s Gender: Understanding Causes and Resolutions
Denial code 7 means that the procedure or revenue code on a claim does …
Denial Code 78 – Non-Covered Days/Room Charge Adjustment Explained for Accurate Billing
If you’ve seen the denial code 78 on a medical bill, it means the …
Denial Code 74 – Indirect Medical Education Adjustment Explained and Resolved
Denial code 74 relates to the Indirect Medical Education (IME) adjustment. This denial happens …
Denial Code 70 Cost Outlier Adjustment to Compensate for Additional Costs Explained
Denial code 70 means your claim faced an adjustment because the costs were higher …
Denial Code 66 – Blood Deductible Explained and How to Resolve It
Denial code 66 means your insurance claim was denied because the blood deductible has …
