Insights

Practical, operator-level guides to working denials at an independent practice — what the reason codes mean, what the vendors actually cost, and what payers are doing right now.

Current

2026 payer watch BCBS downcoding in 2026: what providers are reporting Texas, Montana, Massachusetts — the new E/M repricing policies, the CARC patterns to check in your own 835s, and the steps providers and regulators are taking.

Guides

Pillar guide Denial management for small medical practices What working the denials actually involves, the numbers behind the write-offs, and why hospital vendors, denial software, and billing takeover all fit badly. Pricing What denial recovery services cost An honest map of the fee models — contingency, percentage-of-collections, SaaS, hourly — plus the hidden-fee questions to ask any vendor. Buying guide Hospital denial-recovery vendors vs. small practices Why the enterprise recovery machine structurally can't serve a small practice — and what a right-sized alternative looks like.

By specialty

Primary care Primary care denial management Death by a thousand small denials: the CARC patterns behind them (CO-16, bundling, duplicates, COB) and how to work them in batches. Behavioral health Behavioral health denial management Auth denials, session caps, documentation requests, and carve-out COB — the codes that hit therapy and psychiatry practices hardest. Orthopedics Orthopedic denial management Prior auth, global-package bundling, modifier denials, and the underpayments hiding inside CO-45 lines on high-dollar claims. Chiropractic Chiropractic denial management Visit limits, maintenance-care denials, and modifier mechanics — and the small-dollar write-off math that quietly drains a chiro practice.

Looking for a specific reason code? See the plain-English denial code library — CO-16, CO-197, CO-29 and the other CARCs costing practices money.

How much is your practice writing off to denials?

Send 6 months of remittance files (3 clicks in your billing software) — get a free denial scorecard of your denied dollars, what's recoverable, and your top payer patterns, within one business day. Recovery is contingency-only: no fee unless money posts.

Get your free denial scorecard