Etactics

SEPTEMBER 28, 2022

One in every three hospitals reports that their denial rate is 10% or higher according to Harmony Healthcare. A denial rate that high is what’s considered to be the “danger zone” when it comes to denials. How have hospitals let their denial rates hit such alarming percentages? What is denial code CO 18?

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Etactics

FEBRUARY 10, 2023

There are between 5 and 10 percent medical claim denials on average, according to the AAFP. In 2020, across HealthCare.gov insurers, reports show that 18 percent of in-network claims resulted in claim denials. These denial rates vary from individual providers as well. But what are denial codes?

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Healthcare Healthcare Providers Medicaid Prevention 52

Etactics

APRIL 6, 2023

When it comes to denial management in medical billing , the U.S. Healthcare Denial Management Markets , in 2021 denial management reached a value of $3.54 This is maybe obvious, but how about the fact that there is a growing number of medical claim denials? Let’s start by going over what a denial code even is.

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Prevention Healthcare 52

Etactics

JANUARY 18, 2024

In this blog, we’ll explain the importance of revenue cycle management in the healthcare space. This is also when you will provide your insurance card to confirm co-pays or any other types of coverage you may have. ICD-10 code is short for the International Classification of Diseases. So what can we do to combat this?

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Healthcare Doctors Healthcare Providers Hospitals 52

Etactics

SEPTEMBER 7, 2023

Based on the total number of in-network claims submitted, that averaged out to a 17% denial rate. A more recent study found that the total denial rate increased by 3% more in 2022 than in 2021. But, in our 20+ years of business as a medical claims clearinghouse with a focus on denial management, we’ve noticed a pattern.

Healthcare 52

Healthcare Doctors Prevention Medical Services 52

Etactics

MAY 19, 2023

Medical billing and coding is an important piece of the revenue cycle puzzle. Ironically enough, coding errors are the top-rated concern for hospital reimbursement leaders. The heavier your toolbelt, the better your defense is against high claim denial rates. Table of Contents What are Denial Codes?

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Healthcare Providers Medicaid Healthcare Prevention 52