Healthcare Claims

In the modern revenue cycle process, there are two main types of claims; 835s and 837s. To put it simply, these file types are essentially the bill and the receipt. But, there is more minutiae involved. Let’s take a deeper look at these types of healthcare claims.

In this series, we look at some of the most common denial codes. Today, let’s take a look at CO 97 and how understanding this code can save you money. 

In this blog, we will discover what a CPT code is, different kinds of CPT codes, why they exist, and how they help you collect revenue. 

One denial code that we see healthcare providers running into frequently is CO 151. In this blog, we will delve into what the denial code means, some common causes, steps you can take to fix it, and how to prevent from running into it again.

One of the most common denial codes is CO-16. In this blog post, I’ll provide you with everything you need to know about what CO16 is, how to avoid it and how to overturn it.

Each CPT code gets billed using either service-based units or time-based units. Those that use time-based units require more effort than just submitting how long the appointment was. Providers need to calculate the time it took for each task. They then identify how many units to include within the claim using the 8-minute rule.