Denial Reduction: From 10%+ to Under 0.5%
MoodRx reduced internal claim denials from more than 10% to below 0.5% over about a year. Here is the operating process behind the improvement.
Medical Claim Denial & ERA Insights
Practical guides for practices and billers on CARC/RARC codes, CO-16, CO-18 and CO-29 denials, ERA analysis, and recovering claim revenue.
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Provider Enrollment Denials: NPI, TIN, and Network Risk
Provider enrollment denials can occur even when an NPI is valid. Learn how NPI, TIN, location, taxonomy, and payer participation create claim risk.
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Authorization and Referral Denials: Prevention First
Authorization and referral denials are difficult to fix after care is delivered. Learn how practices can validate dates, services, units, and providers first.
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Eligibility and COB Denials: Find the Real Cause
Eligibility and COB denials are often registration problems in disguise. Learn how 270/271 checks and payer-order controls reduce avoidable denials.
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MUE Denials: Units of Service and Claim-Line Risk
MUE denials can occur when reported units exceed Medicare coding edits. Learn how unit validation and date-specific rules reduce avoidable denials.
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NCCI Denials: PTP Edits, Bundling, and Modifiers
NCCI denials often involve code pairs, bundling, and modifiers. Learn how PTP edits work and how to prevent avoidable coding-related denials.
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CO-29 Denial: Prevent Timely Filing Losses
CO-29 means the filing time limit expired. Learn how payer deadlines, rejected claims, corrected claims, and aging controls can prevent lost revenue.
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CO-18 Denial: How Duplicate Claims Happen
CO-18 duplicate claim denials are often self-created. Learn how claim-status checks, corrected-claim workflows, and duplicate controls prevent them.
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CO-16 Denial: Missing or Invalid Claim Information
CO-16 denials signal missing, incomplete, invalid, or incorrect claim data. Learn how to use RARCs and claim fields to isolate the real cause.
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CARC and RARC Codes: Read Denials From the ERA
Learn how CARC and RARC codes explain payer adjustments and denials, and how practices can turn ERA history into repeatable denial-prevention rules.
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Claim Rejection vs. Denial: Why It Matters
Claim rejection and claim denial are different failures. Learn how to identify each, route it correctly, and keep rejections from becoming lost revenue.
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Medical Claim Denials: 10 Preventable Causes
Medical claim denials often start with preventable errors. Learn 10 denial causes practices can detect earlier with stronger claim validation.