Decoding Denial Code CO-97: Common Scenarios and How to Fix Them

Denial Code CO-97 is one of the most common medical billing denials, often linked to bundled services and payer rules. This blog explores real-world scenarios, causes, and proven solutions to help providers reduce CO-97 denials, improve compliance, and safeguard revenue cycle performance.

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Blog, Pediatric Billing Services Yamuna V Blog, Pediatric Billing Services Yamuna V

Best Pediatric Medical Billing Services in Massachusetts (MA)

Pediatric medical billing requires specialized knowledge of coding, payer rules, and compliance with MassHealth and private insurers. This guide explains the challenges pediatric practices face, best practices for billing, outsourcing options, and cost models to help clinics in Massachusetts improve reimbursements and optimize workflows.

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Oncology Prior Authorization: Medicare CO-15 Denials Checklist for 2025

Authorization-related denials like CO-15 remain a costly challenge for oncology practices. With Medicare prior authorization rules oncology 2025 bringing stricter requirements, new CPT codes, and AI-driven claim reviews, practices must adapt. This guide provides a practical oncology prior authorization checklist to reduce denials, ensure compliance, and safeguard patient care.

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Understanding CPT Code for Gastric Emptying Study - A Complete Guide

Understanding the CPT code for gastric emptying study is essential for precise billing, clean claims, and proper reimbursement. This guide explains coding rules, documentation, ICD-10 links, modifiers, HCPCS pairings, and payer updates for 2025—helping gastroenterology practices reduce denials and stay compliant with nuclear medicine billing standards.

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Urology Medical Billing: Best Practices for Clean Claims

Clean claims in urology medical billing rely on precise documentation, correct coding, and structured workflows. This guide explains denial causes, outlines actionable steps, and provides specialty-focused strategies to help urology practices reduce rejections, improve first-pass approvals, and streamline billing operations effectively.

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Gastroenterology Revenue Cycle Management: 10 KPIs Every Practice Must Track

Key KPIs in gastroenterology revenue cycle management reveal how well billing, coding, and collections perform. From clean claim rate and denial tracking to patient collections and A/R days, these metrics give GI practices the insight needed to improve efficiency, reduce denials, and strengthen revenue outcomes.

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Allergy & Immunology Billing Essentials: CPT, ICD-10 and Modifiers Every Practice Must Know

Allergy and Immunology billing requires precision in coding, documentation, and modifier use. This blog explains the key CPT, ICD-10, and modifier essentials every practice must understand to avoid denials, improve claim accuracy, and maintain compliance in a constantly evolving healthcare environment.

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