Author name: RCM NEST Team

Behavioral Health Billing: Common Denial Codes and Fixes Behavioral health billing carries a unique set of denial challenges that general […]

Physical Therapy Billing Physical therapy billing runs into a specific set of denial patterns that general billing guides rarely address […]

Prior Authorization Denials Prior authorization denials are among the most preventable in medical billing — and among the most expensive […]

How to Appeal Timely filing denials feel the most frustrating of all, because they’re rarely about whether a claim was […]

Clean Claim Rate Clean Claim Rate is one of the clearest early-warning indicators in revenue cycle management — it tells […]

NCR vs GCR These two metrics sound almost identical, get confused constantly, and yet measure fundamentally different things. Mixing them […]

Days in AR Explained “Days in AR” is one of the most quoted RCM metrics — and one of the […]

CO-97 CO-97 is one of the most misunderstood denial codes in medical billing, because it often looks like an error […]

CO-197 If you’ve seen CO-197 on a remittance advice, you already know the frustrating part: the service was performed, it […]

CO-50 Denial: Medical Necessity Appeals That Actually Work CO-50 is one of the most subjective denial codes in medical billing […]