Medicaid Claim Adjustment Reason Code:197
Medicaid Remittance Advice Remark Code:Nil
MMIS EOB Code:142
Claim/line denied: revenue code requires prior authorization.
Reduce Denial Rate To 20% With Our Super-Effective Denial Management Workflow
- We follow specific payer guidelines for submission of appeals
- We identify and segregate full denials and line-item denials
- The claims are classified into different follow-up groupings, based on payer/denial type/value of claim/remark code
Because you need a professional medical billing services to help you manage your claims cycle effectively and save your staff time to assist you better towards quality patient care.
- ✓ Guaranteed Reimbursement in 21 Days
- ✓ Offering services for 300+ Physicians
- ✓ RCM support for 150+ Medical Groups
- ✓ No long-term contracts
- Just one month prior notice to terminate the contract.
- ✓ Claim Transmission in 8 Hours
- ✓ 270 Dedicated Claim Experts
- ✓ Guarenteed AR Collection in 90 Days
- ✓ AAPC Certified Billers
- ✓ CPC Certified Specialty Coders
- ✓ Experienced EMR/EHR Experts
Learn what we do to ensure your collection rate is always high
- ✓ No Startup Charges
- ✓ % in Collections only
- We get paid only when you get paid
- ✓ 0% on Co-pays and Self-pay payments
- ✓ Free EHR/EMR Template Customization
- ✓ Free EMR Implementation Support
- ✓ Free EMR Subscription Fees
- Save EMR/EHR Subscription Fees + Installation + Support + Training costs = $18000/per year.
- ✓ Clearinghouse fees is off/-
- Save Clearinghouse charges 99$ per provider/month
- ✓ Free Patient Statements
- Despatched on-time
Check how you can uncover your revenue cycle leaks and gain insights instantly
Value Added Benefits
- ✓ Denial Management Software
- DenialManager app to tackle denials
- ✓ AR Management Software
- ARManager app to track & decrease AR
- ✓ Claim Status Tracking Software
- ClaimCheck app to rework rejections & denials
- ✓ Medical Coding Software
- CodePro app to reduce DNFB & improve accuracy
- ✓ Contract Management Software
- ContractEdge app to stay compliant and better contracts
- ✓ BillingBridge App to track revenue performance
- ✓ Track your claim status instantly
- ✓ Compare your revenue KPI's
- Compare physician performance within organization
- ✓ Reimbursement vs Contract rate updates
- ✓ Free Notifications on documentation errors
- ✓ HIPAA Compliant
Sign up now and take control of your revenue cycle today
- What is the difference between paper claims and electronic claims?
- What risks exist to the provider if they don't stay on top of the new exchange plans?
- What is the medicare fee schedule for the CPT codes in my state
- What if, you want to know a list of services provided that have a payer as secondary?
- How to submit my secondary claims through eclinical works