Denials & A/R resources
Guides for reducing claim denials, recovering aged accounts receivable, and improving clean claim rates so your practice gets paid faster.
97 Denial Code Explained: What It Means and How to Fix It
CARC 97 means the service is bundled into another procedure. Learn what triggers it (NCCI PTP edits), the modifier 59/X-modifier fix, and when to appeal.
Read the Guide arrow_forwardAppeal Letter Template for Medical Billing (with Examples)
How to write a medical billing appeal letter that wins: required elements, three sample templates by denial type (CARC 50, 197, 97), and the appeal levels each
Read the Guide arrow_forwardClean Claim Rate and Why It Matters
Your clean claim rate directly determines how fast you get paid. Learn what it measures, why it drops, and how to get it above 95% consistently.
Read the Guide arrow_forwardClean Claim Rate Formula and Target Benchmark (2026)
How to calculate clean claim rate the right way, the HFMA MAP Keys benchmark, what counts as 'clean,' and the 9 process levers that move CCR from 88% to 97%.
Read the Guide arrow_forwardClearinghouse Rejection vs Payer Denial: The Critical Distinction
Why clearinghouse rejections are not denials, what happens to each, why timely filing implications differ, and how the 277CA tells the difference.
Read the Guide arrow_forwardCommon CARC and RARC Codes: Denial Codes Reference
Reference list of the most common CARC and RARC codes used by payers, with one-line meaning and operational fix for each. Built for denial worklists.
Read the Guide arrow_forwardCommon Causes of Claim Denials in Small Practices
Top 8 reasons small practices get claim denials and how to fix each one. From eligibility errors to timely filing, the patterns driving 5-10% revenue loss.
Read the Guide arrow_forwardDays in A/R: Formula, Benchmark, and How to Reduce It
Days in A/R formula, MGMA and HFMA benchmarks by specialty, the four levers that reduce A/R, and how to read aging buckets without misinterpreting them.
Read the Guide arrow_forwardDenial Management in Healthcare: Complete Guide with CARC Code Reference
Complete denial management guide: top 25 CARC codes with fixes, the 6-step workflow, prevention vs response, appeal templates, and dropping denial rate to.
Read the Guide arrow_forwardDenial Rate by Specialty (2026): Where the Real Numbers Sit
Initial denial rates by specialty from Change Healthcare, MGMA, and AAPC data — primary care, behavioral health, surgical, OB-GYN, radiology — and top denial.
Read the Guide arrow_forwardHow to Improve Clean Claim Rate
A high clean claim rate means faster payments and fewer denials. Learn actionable strategies to improve your first-pass claim acceptance rate with MedPrecision.
Read the Guide arrow_forwardHow to Recover Aged A/R
Aged A/R collection probability drops below 50% past 90 days, below 30% past 120. Recovery workflow: triage, payer escalation, and the appeal queue.
Read the Guide arrow_forwardHow to Reduce Claim Denials
Claim denials cost practices 5-10% of revenue. Five-step prevention workflow with the front-end checks, coding rules, and KPIs that drop denial rate below 5%.
Read the Guide arrow_forwardMedical Billing Denial Benchmarks 2026: Industry Data, Specialty Breakdowns, Top Denial Codes
Denial benchmarks 2026: MGMA and HFMA first-pass denial rate ranges, specialty breakdowns, top CARC codes, payer behavior, and prior-auth survey data.
Read the Guide arrow_forwardNet Collection Rate vs Gross Collection Rate: The Real Difference
Why gross collection rate misleads, why net collection rate is the true performance metric, the formulas, the HFMA target, and how to compute both correctly.
Read the Guide arrow_forwardPrior Authorization Bottlenecks That Delay Collections
Prior authorization delays are one of the top reasons practices lose revenue. Learn the specific bottlenecks that block collections and how to eliminate them.
Read the Guide arrow_forwardWhat Is A/R in Medical Billing? Days in A/R, Aging Buckets, and How to Manage Them
A/R in medical billing explained: days-in-A/R calculation, aging buckets (0-30, 31-60, 61-90, 90+), the collection probability curve, and how to keep A/R under.
Read the Guide arrow_forwardGet a Free Billing Audit
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