
The denial codes that cost independent practices the most
Most denied revenue concentrates in a handful of CARC codes. Here is what each one actually means, and where the fix belongs in your workflow.
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Implant and multi-procedure billing, bundling rules and modifier accuracy.
Learn MoreAged AR worked by payer and bucket; appeals filed on denials still inside timely filing.
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Learn MoreIdentifying billable coverage on self-pay and unresolved balances before write-off.
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Learn MoreFacility billing, UB-04 institutional claims and high-volume workflows.
Learn MoreTechnical and professional component splits, modality-specific coding and authorization.
Learn MoreHigh-volume, low-value claims where clean-claim rate and payer rules decide the margin.
Learn MoreFull-cycle billing for independent practices — charge entry through payment posting and denial management.
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Most denied revenue concentrates in a handful of CARC codes. Here is what each one actually means, and where the fix belongs in your workflow.

Days in AR is the most quoted number in revenue cycle and the most misread. Here is how to calculate it honestly and what actually moves it.

Authorisation denials are rarely appealable after the fact. The only reliable fix is a front-desk process that catches them before the service happens.

You send us a recent accounts receivable aging report and, where possible, a denial export. We review them and give you a written breakdown: where recoverable revenue is sitting, which denial reasons are costing you most, what your timely-filing exposure looks like, and the fixes we would make in priority order. It is yours to keep whether or not you work with us. Please do not include patient health information — we only need claim-level financial data.
Most of the timeline is payer enrollment and EDI setup, and neither is fully in our control — that is the honest answer. Practices already enrolled with their payers typically start seeing claims go out within two to three weeks. Where new enrollments or revalidations are needed, budget longer, because the payer sets that pace. We tell you which of the two you are in after looking at your current setup.
Solo practitioners are often the strongest case for it, not the weakest. A one-person billing office has no redundancy — a vacation or a resignation stops your revenue cycle, and the cost is not the temp, it is the AR that ages and the claims that pass their filing deadline while nobody is working them.
Access to your existing EMR/PMS, your payer list and contracts, your fee schedule, and a recent AR aging report. If you are moving from another biller, we also need clarity on who works the open AR at transition — that is the single most commonly mishandled part of a billing switch.
Eligibility verification, charge entry, coding review, claim submission, clearinghouse rejection handling, payment and adjustment posting, denial management and appeals, patient statements, and AR follow-up. Credentialing and billing audits are separate services — see the Services pages for scope on each.
Book your appointment today and take the first step towards a clearer picture of your revenue. Our team is ready to help.