Denial Code 61 – Adjusted for Failure to Obtain Second Surgical Opinion Explained and Resolved
Denial code 61 means your insurance claim was rejected because you didn’t get a …
Theodore
Denial Code 60 – Understanding Coverage Limits for Outpatient Services Around Inpatient Care
Denial code 60 means you cannot bill outpatient services if they happen too close …
Denial Code 59 – Processed Based on Multiple or Concurrent Procedure Rules Explained for Surgery and Diagnostic Imaging
Denial code 59 means your claim was processed using rules for handling multiple or …
Denial Code 58 – Treatment Was Deemed by the Payer to Have Been Rendered in an Inappropriate or Invalid Place of Service: Causes and Resolution Strategies
Denial code 58 means your insurance company says the treatment you got was done …
Denial Code 95 – Plan Procedures Not Followed Explained and Resolved Efficiently
Denial code 95 means that the plan’s rules or procedures were not followed when …
Denial Code 96 – Non-covered Charge(s) Explained with Required Remark Codes for Accurate Claims Processing
Denial code 96 means your claim includes a charge that is not covered by …
Denial Code 97 – Understanding Payment Inclusion and Adjudication for Covered Services
Denial code 97 means that the payment for a service you billed is already …
Denial Code 49 – Understanding Non-Covered Routine and Preventive Exam Services Explained
If you’ve seen a denial code 49 on a medical bill or insurance claim, …
Co 6 denial code – The Procedure/Revenue Code Is Inconsistent with the Patient’s Age.
Co 6 denial code means that the procedure or revenue code you submitted does …
CO5 Denial Code: Ultimate Guide to Resolution & Prevention in 2025
By Theodore Johnson, CPC, Lead Billing Specialist at Maple Grove Family Practice.With 10+ years …
HITRUST Common Security Framework (CSF) Certification at Athenahealth
In an age where patient data is as valuable as currency, healthcare organisations must …
Billiyo Review 2025: Cloud Billing Tool for Small Practices with Built-In Eligibility & Denial Management
Introduction: Why Billing Tools Matter Every medical practice, regardless of size, lives and dies …
AllegianceMD Deep Dive: Boost Revenue with Automated Workflow & Claim Follow-Up
What Is AllegianceMD? AllegianceMD is a cloud-based practice management and medical billing platform built …
Mastering AdvancedMD: The Ultimate 2025 Guide to Modern Practice Management
Introduction In a healthcare landscape defined by rapid change and rising patient expectations, running …
AthenaOne Platform Guide: Complete Denial Management Workflow for Medical Billing Teams
Direct Answer: Streamline Your Denial Resolution Process AthenaOne’s integrated denial management system allows AR …
Impact of AI and Automation in Medical Billing Software
Introduction Artificial intelligence (AI) and automation are no longer futuristic buzzwords—they are driving real, …
Top 10 Features to Look for in Medical Billing Software
Introduction Choosing the right medical billing software is critical for maximizing reimbursements, minimizing denials, …
A Step‑by‑Step Guide to Implementing Medical Billing Software
Introduction Implementing a new medical billing system is one of the most impactful investments …
How to resolve the claim when denied as CO-4 The procedure code is inconsistent with the modifier used.
Introduction An EOB denial with adjustment code CO‑4 “Procedure code is inconsistent with the …
What happens when you see the claim processed towards CO 3 – Copay.
Introduction Copayments or “copays” are a fixed amount a patient pays at the time …
