Healthcare Billing Expertise, Shared. 

CO-45 means a billed charge exceeds the payer’s fee schedule, maximum allowable amount or contracted rate. Under the CO group code, the difference is generally a provider write-off. It is not a denied claim and it is not a patient balance. Before you post the adjustment, compare the payer’s allowed amount with your reimbursement terms.…

Many practices stop at one question: “Is the policy active?” That is only step one. An active plan can still be out of network, require prior authorization or leave the patient with a deductible. Use this practical eligibility verification checklist before every visit.

Pain management practices do a lot of good work. They also lose a lot of revenue to preventable pain management billing denials. A single missed approval, a wrong modifier or a thin progress note can turn a clean procedure into a rejected claim.

G2211 is a Medicare visit complexity add-on code that you attach to an office or outpatient E/M visit

A podiatry claim can look correct in almost every respect and still come back unpaid

Running a solo medical practice leaves little room for waste. Billing is one of those

Recurring claim denials and payment adjustments can delay reimbursement

Rejected ≠ denied. Learn how to read CARC/RARC codes, fix each claim type

Learn how to switch medical billings companies without disrupting cash flow