Blog
Medical Billing and RCM Insights
We write practical articles on denials, credentialing, coding and what it takes to run a healthier revenue cycle.
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POS 02: Telehealth Place of Service When the Patient Is Not at Home
What POS 02 means, the CMS definition, when to use it instead of POS 10, how Medicare pays it and the most common telehealth billing mistakes.
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POS 11 in Medical Billing: Office Place of Service Explained
What POS 11 means, the CMS definition, why it pays the non-facility rate, and when POS 22, 19, 02 or 10 should be used instead.
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“Submitter Not Approved for Electronic Claim Submissions” Rejection: How to Fix It
What the “Submitter not approved for electronic claim submissions on behalf of this entity” rejection (status 496) means and how to fix EDI enrollment.
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“Entity’s Specialty/Taxonomy Code” Claim Rejection: How to Fix It
What the “Entity’s specialty/taxonomy code” rejection (status 145) means, where taxonomy goes on the claim, and how to fix it.
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“Entity’s Tax ID” Claim Rejection: How to Fix It
What the “Entity’s tax id” rejection (status 128) means, why the tax ID and NPI must match enrollment, and how to correct the claim.
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“Claim Submitted to Incorrect Payer” Rejection: How to Fix It
Why claims are rejected as “Claim submitted to incorrect payer” (status 116), the usual causes and how to route the claim correctly.
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“Entity’s National Provider Identifier (NPI)” Claim Rejection: How to Fix It
What the “Entity’s National Provider Identifier (NPI)” rejection (status 562) means, how the entity code tells you which NPI to check, and how to fix it.
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“Subscriber and Subscriber ID Not Found” Claim Rejection: How to Fix It
Why claims are rejected with “Subscriber and subscriber id not found” (status 33), the common causes, and how to fix and resubmit.
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277CA Claim Acknowledgment: How to Read and Fix Claim Rejections
What a 277CA claim acknowledgment is, how to read category and status codes, and how to fix the most common claim rejections.
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CPT 99204: New Patient Office Visit, Moderate Complexity
What CPT 99204 requires, who counts as a new patient, moderate MDM, the 45-minute time rule and common mistakes.
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