"CPT Copyright 2017 American Medical Association. All rights reserved. CPT® is a registered trademark of the American Medical Association.""

Featured Post

LIST OF MODIFIERS

Modifier - as the name implies a modifier will modify a service / procedure or an item under certain circumstances for appropriate reimbur...

Denial Reason - Required Element Missing / Missing Loops


Effective April 1, 2010, CMS has implemented changes for reporting and processing purchased service information for diagnostic service claims. If the name of the provider who provided the purchased service for a diagnostic test and / or if the charge amount is missing or incomplete then the claim would be rejected.

The rejection messages ‘Required Element Missing” or ‘Missing Loops’ will display on the MCS Edit Report. The purchased service provider name should be reported at the claim and service level. The charge amount should be reported at the service level.

For more information please refer:
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6670.pdf

Popular Posts