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Revenue Cycle Management

Healthcare Guide for Reimbursement

  • Denial Codes
    • Denials with solutions in Medical Billing
    • Denials Management – Causes of denials and solution in medical billing
    • Medical Coding denials with solutions
    • Offset in Medical Billing with Example
    • PR 1 Denial Code – Deductible Amount
    • CO 4 Denial Code – The procedure code is inconsistent with the modifier used or a required modifier is missing
    • CO 5 Denial Code – The Procedure code/Bill Type is inconsistent with the Place of Service
    • CO 6 Denial Code – The Procedure/revenue code is inconsistent with the patient’s age
    • CO 7 Denial Code – The Procedure/revenue code is inconsistent with the patient’s gender
    • CO 9 and CO 10 Denial Code
    • CO 13 and CO 14 Denial Code
    • CO 15 Denial Code – The authorization number is missing, invalid, or does not apply to the billed services or provider
    • CO 17 Denial Code – Requested information was not provided or was insufficient/incomplete
    • CO 19 Denial Code – This is a work-related injury/illness and thus the liability of the Worker’s Compensation Carrier
    • CO 20 and CO 21 Denial Code
    • CO 23 Denial Code – The impact of prior payer(s) adjudication including payments and/or adjustments
    • CO 26 CO 27 and CO 28 Denial Codes
    • CO 31 Denial Code- Patient cannot be identified as our insured
    • CO 45 Denial Code
    • CO 97 Denial Code
    • CO 119 Denial Code – Benefit maximum for this time period or occurrence has been reached or exhausted
  • Place of Service Codes
    • Place of Service 02
    • Place of Service 11
    • Place of Service 12
    • Place of Service 19
    • Place of Service 21
    • Place of Service 22
    • Place of Service 23
  • Medicaid Phone Number
    • Tricare Phone Number and Claim Address
    • Molina Healthcare Phone Number claims address of Medicare and Medicaid
      • BCBS Provider Phone Number
        • BCBS Prefix List
        • BCBS Federal Phone Number
        • Ambetter Claims address and Phone Number
        • Healthfirst Customer Service-Health First Provider Phone Number-Address and Timely Filing Limit
        • Kaiser Permanente Phone Number – Claims address and Timely Filing Limit
        • Amerihealth Caritas Phone Number, Payer ID and Claim address
  • United Healthcare Provider Number
  • Medical Coding
    • Anxiety ICD 10
    • ICD 10 code for Abdominal Pain
    • Back Pain ICD 10
    • Chest Pain ICD 10
    • Diabetes ICD 10 – Mellitus and Insipidus
    • Pregnancy ICD 10
    • Arthritis ICD 10
    • Asthma ICD 10
    • GERD ICD 10
    • Hypothyroidism ICD 10
    • Hyperlipidemia ICD 10
    • Hypertension ICD 10
    • ICD 10 Code for Sepsis Severe Sepsis and Septic shock with examples
    • ICD 10 code for HIV
    • E&M Codes
    • CPT Code for Consultation
    • Modifiers GA GX GY and GZ
    • Modifiers GV and GW
    • Modifier 26
    • Modifier 50
    • Modifier 52
    • Modifier 62
    • Modifier 76 and 77
    • Modifier 80 and 66
  • Aetna address and Provider Phone Number
  • Timely Filing Limit of Insurances
    • Anthem Blue Cross Blue Shield Timely filing limit – BCBS TFL List
    • Ambetter Timely Filing Limit
  • Workers Compensation
    • Workers Compensation Insurances List of United States
    • Workers Compensation time limit for filing Claim and reporting in United States
  • Health Insurance in US
    • What is Medical Billing and Medical Billing process steps in USA?
    • Demo Entry in Medical Billing
    • Charge Entry in Medical Billing
    • Clearing House in Medical Billing
    • Payment Posting in Medical Billing
    • Medical Terminology
    • Contact Us
    • Privacy Policy
    • About Us
  • BCBS Prefix List AAA to AZZ
  • BCBS Prefix List BAA to BZZ
  • BCBS Prefix List CAA to CZZ
  • BCBS Prefix List DAA to DZZ
  • BCBS Prefix List EAA to EZZ
  • BCBS Prefix List FAA to FZZ
  • BCBS Prefix List GAA to GZZ
  • BCBS Prefix List HAA to HZZ
  • BCBS Prefix List IAA to IZZ
  • BCBS Prefix List JAA to JZZ
  • BCBS Prefix List KAA to KZZ
  • BCBS Prefix List LAA to LZZ
  • BCBS Prefix List MAA to MZZ
  • BCBS Prefix List NAA to NZZ
  • BCBS Prefix List OAA to OZZ
  • BCBS Prefix List PAA to PZZ
  • BCBS Prefix List QAA to QZZ
  • BCBS Prefix List RAA to RZZ
  • BCBS Prefix List SAA to SZZ
  • BCBS Prefix List TAA to TZZ
  • BCBS Prefix List UAA to UZZ
  • BCBS Prefix List VAA to VZZ
  • BCBS Prefix List WAA to WZZ
  • BCBS Prefix List XAA to XZZ
  • BCBS Prefix List YAA to YZZ
  • BCBS Prefix List ZAA to ZZZ
  • BCBS Prefix List A2A to A9Z
  • BCBS Prefix List B2A to B9Z
  • BCBS Prefix List C2A to C9Z
  • BCBS Prefix List D2A to D9Z
  • BCBS Prefix List E2A to E9Z
  • BCBS Prefix List F2A to F9Z
  • BCBS Prefix List G2A to G9Z
  • BCBS Prefix List H2A to H9Z
  • BCBS Prefix List I2A to I9Z
  • BCBS Prefix List J2A to J9Z
  • BCBS Prefix List K2A to K9Z
  • BCBS Prefix List L2A to L9Z
  • BCBS Prefix List M2A to M9Z
  • BCBS Prefix List N2A to N9Z
  • BCBS Prefix List O2A to O9Z
  • BCBS Prefix List P2A to P9Z
  • BCBS Prefix List Q2A to Q9Z
  • BCBS Prefix List R2A to R9Z
  • BCBS Prefix List S2A to S9Z
  • BCBS Prefix List T2A to T9Z
  • BCBS Prefix List U2A to U9Z
  • BCBS Prefix List V2A to V9Z
  • BCBS Prefix List W2A to W9Z
  • BCBS Prefix List X2A to X9Z
  • BCBS Prefix List Y2A to Y9Z
  • BCBS Prefix List Z2A to Z9Z
Health Insurance in United States of America 

Medicare Part A & B

March 29, 2022March 29, 2022 Channagangaiah

Medicare Part A & B called as Original Medicare. Which covers Hospital, physician visits and outpatient procedures. What are the

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Health Insurance in United States of America 

Medicare vs Medicaid

February 7, 2022February 7, 2022 Channagangaiah

Can an individual be Eligible for both Medicare and Medicaid insurance? Yes, individual are eligible who meets the above criteria

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Medical Billing Cycle - Healthcare 

Revenue Cycle Management

February 7, 2022February 7, 2022 Channagangaiah

Revenue Cycle Management also known as RCM is the process from patient scheduling an appointment from front desk to provider/patient

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CPT Codes Guide - Healthcare 

MRI CPT Codes

February 3, 2022 Channagangaiah

MRI (Magnetic Resonance Imaging) is used in radiology to find out any abnormalities inside the organ. It is a three

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CPT Codes Guide - Healthcare 

CPT Code for Suture Removal

February 3, 2022February 3, 2022 Channagangaiah

Physicians place suture after major or minor surgery to help in holding body tissues together after surgery. The material of

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CPT Codes Guide - Healthcare 

CPT 99213

July 20, 2021 Channagangaiah

CPT 99213 is an evaluation and management code of an established patient. It is one of the highly used E&M

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CPT Codes Guide - Healthcare 

CPT code for Urinalysis

July 17, 2021 Channagangaiah

In this article will learn about CPT code for Urinalysis and its guidelines along with examples. Urinalysis (UA) is analysis

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ICD 10 Codes Guide - Healthcare 

ICD 10 Code for Knee Pain – Right Left and Bilateral

July 17, 2021 Channagangaiah

In this article will study on ICD 10 Code for Knee Pain, Bilateral Knee Pain (ICD 10 Code for Left

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ICD 10 Codes Guide - Healthcare 

ICD 10 code for Myalgia

July 17, 2021July 17, 2021 Channagangaiah

In this topic will discuss on ICD 10 code for Myalgia and its coding guidelines along with examples. Myalgia means

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ICD 10 Codes Guide - Healthcare 

ICD 10 Code for Migraine

July 17, 2021 Channagangaiah

We all experience headache sometimes when not having enough sleep, more stress, along with any disease or due to unknown

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ICD 10 Codes Guide - Healthcare 

ICD 10 Code for Jaundice

July 13, 2021 Channagangaiah

In this article will learn the following topics: Symptoms, Types of Jaundice, ICD 10 Code for Jaundice, ICD 10 Code

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ICD 10 Codes Guide - Healthcare 

Dehydration ICD 10 Codes

July 2, 2021 Channagangaiah

In this article will discuss on Dehydration ICD 10 codes, guidelines with examples. We use the term dehydration when there

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ICD 10 Codes Guide - Healthcare 

Diarrhea ICD 10 Code

July 1, 2021 Channagangaiah

In this topic will learn on Diarrhea ICD 10 Codes, guidelines along with examples. Diarrhea is very familiar term to

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ICD 10 Codes Guide - Healthcare 

Neuropathy ICD 10 Code

July 1, 2021 Channagangaiah

Let’s discuss on types of Neuropathy, Neuropathy ICD 10 Codes guidelines with examples. Neuropathy or nerve disease is a damage

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ICD 10 Codes Guide - Healthcare 

Afib ICD 10 Code – Atrial Fibrillation

July 1, 2021July 1, 2021 Channagangaiah

In this topic will see the types of Afib, symptoms, Afib ICD 10 Code and its guidelines along with examples.

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Medical Terminology List - Healthcare 

Coordination of Benefits

June 24, 2021 Channagangaiah

Coordination of Benefits means a way to decide which insurance is responsible to pay the medical expense as primary, secondary

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ICD 10 Codes Guide - Healthcare 

UTI ICD 10 – Urinary Tract Infection

May 22, 2021May 30, 2021 Channagangaiah

Let us study about Urinary Tract infections symptoms, UTI ICD 10 Codes and guidelines with examples. Urinary Tract infection (UTI)

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ICD 10 Codes Guide - Healthcare 

Obesity ICD 10

May 22, 2021May 30, 2021 Channagangaiah

Let us look into Obesity BMI value table, Obesity ICD 10 codes and guidelines with examples. We all are very

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ICD 10 Codes Guide - Healthcare 

CHF ICD 10 – Congestive Heart Failure

May 22, 2021May 30, 2021 Channagangaiah

Let us study about CHF, types of Heart failure, symptoms, diagnosis, CHF ICD 10 Codes and guidelines with examples. Congestive

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ICD 10 Codes Guide - Healthcare 

CAD ICD 10 – Coronary Artery Disease

May 22, 2021May 30, 2021 Channagangaiah

Let us learn about symptoms and diagnosis of Coronary Artery Disease, CAD ICD 10 guidelines with examples. Coronary Artery Disease

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ICD 10 Codes Guide - Healthcare 

Fever ICD 10

May 20, 2021May 30, 2021 Channagangaiah

In this topic, let us look in to Fever ICD 10 classification along with examples. Fever Fever, medically known as

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ICD 10 Codes Guide - Healthcare 

Cough ICD 10

March 30, 2021March 30, 2021 Channagangaiah

In this topic we shall discuss on types of Cough, Cough ICD 10 guidelines along with examples. Coughing is a

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ICD 10 Codes Guide - Healthcare 

Insomnia ICD 10

March 30, 2021March 30, 2021 Channagangaiah

In this topic let us look into types of Insomnia, Insomnia ICD 10 guidelines with examples. Insomnia is a sleep

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ICD 10 Codes Guide - Healthcare 

COPD ICD 10

March 30, 2021March 30, 2021 Channagangaiah

Let us learn about COPD ICD 10 code list, guidelines with examples. COPD: Chronic obstructive pulmonary disease is an inflammatory

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ICD 10 Codes Guide - Healthcare 

Headache ICD 10

March 14, 2021 Channagangaiah

In this topic we will briefly discuss about the types and causes of headache and in detail about the Headache

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ICD 10 Codes Guide - Healthcare 

Fatigue ICD 10

March 14, 2021 Channagangaiah

In In this topic we will see the types of fatigue, Fatigue ICD 10 codes description and guidelines along with

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Categories

  • Aetna Directory – Healthcare (1)
  • Ambetter Directory – Healthcare (1)
  • Amerihealth Caritas Directory – Healthcare (1)
  • CPT Codes Guide – Healthcare (7)
  • Denial Codes – Healthcare (23)
  • Durable Medical Equipment – Healthcare (1)
  • Health Insurance in United States of America (3)
  • Healthfirst Directory (1)
  • ICD 10 Codes Guide – Healthcare (32)
  • Kaiser Permanente Directory – Healthcare (1)
  • Medicaid Directory – Healthcare (1)
  • Medical Billing Cycle – Healthcare (8)
  • Medical Terminology List – Healthcare (2)
  • Modifiers Guide – Healthcare (11)
  • Molina Directory – Healthcare (1)
  • Place of Service Codes List – Medical Billing (11)
  • Timely Filing Limit – Healthcare (3)
  • Tricare Directory – Healthcare (1)
  • Uncategorized (55)
  • Unitedhealthcare Directory – Healthcare (1)
  • Workers Compensation – Healthcare (3)

Recent Posts

  • Medicare Part A & B
  • Medicare vs Medicaid
  • Revenue Cycle Management
  • MRI CPT Codes
  • CPT Code for Suture Removal
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