Matthewcross

In the healthcare industry, claim denials are a frequent challenge that can impact revenue cycles and disrupt patient care. One of the most commonly encountered denial codes is CO 24, which signals an issue related to charges covered under a capitation agreement or managed care plan. Understanding the intricacies of this denial code is crucial for healthcare providers, as it allows them to respond effectively, minimize payment delays, and maintain a smooth billing process. The CO 24 denial code stands for "Charges are covered under a capitation agreement/managed care plan." This denial occurs

Claim denials are one of the most significant challenges faced by healthcare providers and medical billing teams. Understanding the various denial codes and reasons for rejections is crucial for improving revenue cycle management and minimizing losses. One of the most frequent denial codes that healthcare professionals encounter is CO 197. This denial code indicates that the payment for a service or claim has been reduced or denied due to a failure to obtain pre-certification or prior authorization.