PMB Blog

The 9 Top Denials in Medical Billing: Codes and Reasons

Medical billing denial codes are one of the most frustrating parts of running a medical practice. Not only do denials in medical billing mean lost money, they also often mean that you’re going to have to waste your time either fighting the denial or trying to collect from the patient. Know the Top Denials in…

Your Practice Is Losing Money Without Proper Denial Management

A Medicare claim denied is a lost opportunity for income. When private insurers reject claims, you may be put in the untenable position of collecting funds directly from patients, particularly alienating them, or writing off the lost funds. The average medical practice has a profit margin of about 13%. Eat into this too much through…

10% of Medicare Claims Are Rejected, Impacting Home Health

Claims can be rejected for a variety of reasons. The most recent data from the Centers for Medicare & Medicaid services show the denial rate hovering around 10%. No two insurers are alike, some will cover one thing while another will not. Medicare has specific guidelines for covering home health, and in order to ensure…

Why You Need an Aging Report for a Home Health Agency

There is no avoiding that rejected claims can have a major impact on a home health agency’s overall success. You need to be sure that your billing team is keeping on top of this activity, and that is not always an easy thing to monitor. The critical tool here is keeping your accounts receivables (A/R)…