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Complete the Epic Ambulatory Billing Certification and get hired instantly.
by
Theodore
|
May 21, 2025

Complete the Epic Ambulatory Billing Certification and get hired instantly.

Cerner Charge Capture & Billing Specialist at work
by
Theodore
|
May 21, 2025

Cerner Charge Capture & Billing Specialist: Complete Guide

A professional reviewing medical billing documents and a computer screen with charts and data in an office setting.
by
Theodore
|
May 20, 2025

Denial Code CO 94 – Processed in Excess of Charges Explained and How to Resolve It

A healthcare professional in an office reviewing medical billing documents with a computer and organized files on the desk.
by
Theodore
|
May 20, 2025

Denial Code CO 85 – Patient Interest Adjustment Use Only Group Code PR for Accurate Billing Compliance

A medical billing specialist reviewing an invoice on a computer in an office, surrounded by paperwork and a calculator.
by
Theodore
|
May 20, 2025

Denial Code CO 89 – Professional Fees Removed from Charges Explained and Resolved

A pharmacist reviewing a digital screen with prescription bottles and payment tools nearby, focusing on billing adjustments.
by
Theodore
|
May 19, 2025

Denial Code 91 – Dispensing Fee Adjustment Explained and How to Resolve It

A scientist in a lab coat examines pharmaceutical ingredients and chemical formulas in a modern pharmacy laboratory.
by
Theodore
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May 20, 2025

Denial Code CO 90 – Ingredient Cost Adjustment Explained for Pharmaceutical Billing Compliance

A financial analyst in a hospital billing office reviewing charts and data on computer screens related to healthcare payment adjustments.
by
Theodore
|
May 20, 2025

Denial Code CO 76 – Disproportionate Share Adjustment Explained and Impact on Healthcare Billing

A healthcare professional reviews medical billing data and documents in a modern office setting with medical equipment and educational materials nearby.
by
Theodore
|
May 20, 2025

Denial Code CO 75 – Direct Medical Education Adjustment Explained and Resolved

A healthcare professional reviewing a medical claim with a concerned expression in a hospital setting, with visual elements indicating insurance denial.
by
Theodore
|
May 20, 2025

Denial Code CO 56 – Procedure/Treatment Not Proven Effective by Payer Explored and Explained

A medical professional reviewing documents in an office, with a subtle red caution symbol in the background indicating treatment denial.
by
Theodore
|
May 19, 2025

Denial Code 55 – Procedure, Treatment, or Drug Classified as Experimental by Payer: Understanding Coverage Implications

A group of healthcare professionals reviewing patient information and discussing an insurance coverage issue in a medical office.
by
Theodore
|
May 19, 2025

Denial Code 54 – Multiple Physicians/Assistants Not Covered Explained and Solutions

A patient and healthcare professional discussing documents in a medical office, with a subtle family tree illustration in the background highlighting household members.
by
Theodore
|
May 20, 2025

Denial Code CO 53 – Services by an Immediate Relative or Household Member Are Not Covered: Understanding Coverage Restrictions

A patient and a medical billing specialist in a healthcare office discussing an insurance claim denial, with a calendar highlighting past dates in the background.
by
Theodore
|
May 20, 2025

Denial Code CO 51 – These Are Non-Covered Services Due to Pre-Existing Condition Explained

A medical billing specialist at a desk reviewing insurance claims on a computer with symbols indicating denied services due to lack of medical necessity.
by
Theodore
|
May 19, 2025

Denial Code 50 – Understanding Non-Covered Services Due to Lack of Medical Necessity by Payer

A medical billing professional reviews patient records at a computer in a hospital billing office, focusing on an error related to patient gender.
by
Theodore
|
May 20, 2025

Denial Code CO 7 – The Procedure/Revenue Code Is Inconsistent With the Patient’s Gender: Understanding Causes and Resolutions

A medical billing specialist reviewing hospital invoices and documents with a computer and calculator in an office, highlighting adjustments related to room charges and non-covered days.
by
Theodore
|
May 19, 2025

Denial Code 78 – Non-Covered Days/Room Charge Adjustment Explained for Accurate Billing

A healthcare administrator reviewing medical billing documents and charts on a computer in a medical office, with visual elements representing medical education and financial adjustments around them.
by
Theodore
|
May 19, 2025

Denial Code 74 – Indirect Medical Education Adjustment Explained and Resolved

A financial analyst reviews data charts on a digital screen in an office with a hospital visible outside the window, representing cost adjustments for extra expenses.
by
Theodore
|
May 22, 2025

Denial Code 70 Cost Outlier Adjustment to Compensate for Additional Costs Explained

A healthcare professional and a patient discuss a medical insurance claim on a desk with a blood vial and documents nearby.
by
Theodore
|
May 19, 2025

Denial Code 66 – Blood Deductible Explained and How to Resolve It

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CodeToClaim empowers medical billing professionals with expert insights, actionable guidance, and examples. We demystify complex coding, optimize revenue cycles, and streamline claim processing for U.S. healthcare practices.

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