First Coast Service Options Inc. (First Coast) wants to ensure you avoid common denials related to “Remote physiologic monitoring (RPM)”, RPM treatment management and digitally… Read More »Preventing denials of RPM and related services
Coding Guidelines for Screening and counseling servicesMedicare:Medicare does not allow the billing of other services performed on the same day as an obesity counseling visit. Screening Services… Read More »Coding Guidelines for CPT G0447 & G0442
Claim Adjustment Reason Codes B9 Patient is enrolled in a Hospice. Reason for this denial: Medicare beneficiaries entitled to hospital insurance (Part A) who have… Read More »Patient enrolled in hospice denial – Tips for correction
Health benefit payers, including Medicare, are limited to use of those internal and external code sets identified in the implementation guides (IG) adopted as standards… Read More »What does Group Codes (CO, CR, OA, PR) refers to?
Claim Adjustment Reason Codes (CARC) CO 50 These are non-covered services because this is not deemed a ‘medical necessity’ by the payer. Note: Refer to the 835… Read More »Denial Reason CO-50 Non-covered services – Tips to correct this denial
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… Read More »Denial Reason – Required Element Missing / Missing Loops