Denials slow down cash flow and create extra work for your team. Here are the most common denial drivers we see—and the practical fixes that reduce rejections. Eligibility not verified before the visit Missing or incorrect patient demographics Coding doesn’t match documentation Prior authorization not obtained Timely filing limits missed Duplicate claims or incorrect modifiers Payer-specific rules not followed If you want, I can help you set up a denial-prevention checklist a

If you’re a clinic or private practice, clean billing and accurate coding are the difference between steady cash flow and constant rework. This guide breaks down the basics and what to outsource vs. keep in-house. What medical billing and coding actually do Coding translates clinical documentation into standardized codes (ICD-10-CM, CPT/HCPCS). Billing turns those codes into claims, submits them, follows up, and posts payments. The basic workflow Patient registration and elig